| Doctor Name: | BRYAN DORN |
| NPI Number: | 1376701250 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPT |
| License Number: | 5623 |
| Business Practice Address: | 23505 Smithtown Rd Ste 100 Excelsior, MN - 553314542 |
| Business Phone Number: | 9524708555 |
| Business Fax Number: | 9524018785 |
| Mailing Address: | 23505 Smithtown Rd Ste 100, EXCELSIOR |
| State: | MN |
| Postal Code: | 553314542 |
| Phone Number: | 9524708555 |
| Fax Number: | 9524018785 |
| NPI Enumeration Date: | 05/28/2008 |
| NPI Last Update Date: | 10/05/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | 5623 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OR |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |