Advanced Injury Rehabilitation, Ltd. | |
1752 Lexington Ave N Roseville MN 55113-6516 | |
(651) 487-5950 | |
(651) 487-6016 |
Full Name | Advanced Injury Rehabilitation, Ltd. |
---|---|
Speciality | Clinic/center |
Location | 1752 Lexington Ave N, Roseville, Minnesota |
Authorized Official Name and Position | Frederick Ashley Clary (OWNER) |
Authorized Official Contact | 6514875950 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Advanced Injury Rehabilitation, Ltd. 1752 Lexington Ave N Roseville MN 55113-6516 Ph: (651) 487-5950 | Advanced Injury Rehabilitation, Ltd. 1752 Lexington Ave N Roseville MN 55113-6516 Ph: (651) 487-5950 |
NPI Number | 1376633511 |
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Provider Enumeration Date | 10/16/2006 |
Last Update Date | 07/21/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376633511 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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