NPI 1053623785

Park Nicollet

Organisation Physical Therapy Clinic/Center Eden Prairie, MN

Practice location

Address: 8455 Flying Cloud Dr, Eden Prairie, MN 55344-3974
Phone: (952) 993-7470
Mailing address: 8455 Flying Cloud Dr, Eden Prairie, MN 55344

Authorised official

Name: David Abelson
Title: President/Ceo
Phone: (952) 993-5009

Registered specialties

Physical Therapy Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QP2000X Licence 8510 (MN)

Other Clinic/Center providers in Minnesota →

Registry record

NPI: 1053623785
Entity type: Organization
NPI issued: 10 Jul 2010
Record last updated: 10 Jul 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.