Healthcare Provider Details
I. General information
NPI: 1780765560
Provider Name (Legal Business Name): THERAPY PARTNERS INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/18/2006
Last Update Date: 05/07/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
433 MENDOTA RD E
SAINT PAUL MN
55118-5104
US
IV. Provider business mailing address
7541 9TH ST N
OAKDALE MN
55128-6626
US
V. Phone/Fax
- Phone: 651-552-5928
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225X00000X |
| Taxonomy | Occupational Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JAMES
HOYME
Title or Position: CLINIC OWNER
Credential: PT
Phone: 651-747-4328