Healthcare Provider Details

I. General information

NPI: 1336625326
Provider Name (Legal Business Name): OSR PHYSICAL THERAPY LIMITED PARTNERSHIP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2018
Last Update Date: 11/24/2020
Certification Date: 11/24/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7872 CENTURY BLVD
CHANHASSEN MN
55317-8005
US

IV. Provider business mailing address

7872 CENTURY BLVD
CHANHASSEN MN
55317-8005
US

V. Phone/Fax

Practice location:
  • Phone: 952-448-9088
  • Fax:
Mailing address:
  • Phone: 952-448-9088
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: RICHARD BINSTEIN
Title or Position: VP/AUTHORIZED OFFICIAL
Credential:
Phone: 713-297-7000