Healthcare Provider Details

I. General information

NPI: 1659472033
Provider Name (Legal Business Name): BARBARA FROEMMING RPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BARBARA BENING

II. Dates (important events)

Enumeration Date: 09/26/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

182 SUNSET AVE NW
COKATO MN
55321-9620
US

IV. Provider business mailing address

23408 735TH AVE
DASSEL MN
55325-3410
US

V. Phone/Fax

Practice location:
  • Phone: 763-689-5385
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number1622
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: