Doctor Name: | ROBERT M STOREVIK |
NPI Number: | 1114340536 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T. |
License Number: | 4853 |
Business Practice Address: | 2151 Hamline Ave N #111 Roseville, MN - 551134236 |
Business Phone Number: | 6516365560 |
Business Fax Number: | 6516364406 |
Mailing Address: | 701 N 2nd St, #109 MINNEAPOLIS |
State: | MN |
Postal Code: | 554011125 |
Phone Number: | 7634393259 |
Fax Number: | |
NPI Enumeration Date: | 01/22/2014 |
NPI Last Update Date: | 01/22/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 4853 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |