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NPI Code Detail

MEDICARE: MULTICENTER PHYSICAL THERAPY, LLC

MEDICARE: MULTICENTER PHYSICAL THERAPY, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QP2000XPhysical Therapy Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2DA0396OTHERMNMC RAILROAD GROUP NUMBER

General Provider Information

NPI Number : 1346287158
Entity Type Code : Organization
Provider Name (Legal Business Name) : MULTICENTER PHYSICAL THERAPY, LLC
Provider Business Mailing Address
First Line : 7700 HIGHWAY 65 NE
Second Line :
City : SPRING LAKE PARK
State : MN
Zip : 55432-2832
Country : US
Telephone Number : 763-784-3155
Fax Number : 763-784-2352
Provider Business Practice Location Address
First Line : 7700 HIGHWAY 65 NE
Second Line :
City : SPRING LAKE PARK
State : MN
Zip : 55432-2832
Country : US
Telephone Number : 763-784-3155
Fax Number : 763-784-2352
Authorized Official
Title or Position : ADMINISTRATOR
Name : MS. SUSAN ANN SANTEMA
Credential :
Telephone Number : 763-767-3140
Provider Enumeration Date : 06/01/2006
Last Update Date : 07/30/2010

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Directions to “MULTICENTER PHYSICAL THERAPY, LLC ” Practice Location

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