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NPI Code Detail

MEDICARE: PAMELA JO REINERTSON PT

MEDICARE: PAMELA JO REINERTSON PT
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 Therapist7046MN

General Provider Information

NPI Number : 1740460971
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAMELA JO REINERTSON PT
Provider Business Mailing Address
First Line : 600 PETERSON PKWY
Second Line :
City : NEW LONDON
State : MN
Zip : 56273-7823
Country : US
Telephone Number : 320-354-2222
Fax Number :
Provider Business Practice Location Address
First Line : 600 PETERSON PKWY
Second Line :
City : NEW LONDON
State : MN
Zip : 56273-7823
Country : US
Telephone Number : 320-354-2222
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/05/2007
Last Update Date : 03/30/2023

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Directions to “ PAMELA JO REINERTSON PT” Practice Location

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