MR. Fred Soukup, L.P.T.

NPI #1861688442 in Brainerd, Minnesota

Provider Information

NPI Number: 1861688442
Entity Type: Individual
Name: MR. Fred Soukup, L.P.T.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: L.P.T.
Enumeration Date: Sep 18, 2007
Last Updated: Sep 18, 2007

Practice Location

Address: 1919 S 7TH ST
City: Brainerd
State: Minnesota
ZIP Code: 56401-4523
Phone: (218) 825-0913

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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