| Doctor Name: | ELDON SODERBERG |
| NPI Number: | 1104927169 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT |
| License Number: | 1821 |
| Business Practice Address: | 2040 Douglas Dr N Suite 203 Golden Valley, MN - 554223944 |
| Business Phone Number: | 7639259566 |
| Business Fax Number: | 7635442180 |
| Mailing Address: | 2040 Douglas Dr N, Suite 203 GOLDEN VALLEY |
| State: | MN |
| Postal Code: | 554223944 |
| Phone Number: | 7639259566 |
| Fax Number: | 7635442180 |
| NPI Enumeration Date: | 09/25/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | 1821 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |