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NPI Code Detail

MEDICARE: CLAIR WARD DPT

MEDICARE: CLAIR WARD DPT
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
1225100000XPhysical Therapist19685CO
2225100000XPhysical Therapist13299MN

General Provider Information

NPI Number : 1396521811
Entity Type Code : Individual
Provider Name (Legal Business Name) : CLAIR WARD DPT
Provider Business Mailing Address
First Line : 3500 AMERICAN BLVD W STE 300
Second Line :
City : BLOOMINGTON
State : MN
Zip : 55431-4442
Country : US
Telephone Number : 952-512-5600
Fax Number : 952-512-5651
Provider Business Practice Location Address
First Line : 5400 FRANCE AVE S
Second Line :
City : EDINA
State : MN
Zip : 55410-2356
Country : US
Telephone Number : 877-609-0123
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2023
Last Update Date : 10/16/2024

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Directions to “ CLAIR WARD DPT” Practice Location

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