Doctor Name: | BRUCE GEORGE DAHLMAN |
NPI Number: | 1679673073 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T. |
License Number: | 6746 |
Business Practice Address: | 10961 Club West Pkwy Blaine, MN - 554494671 |
Business Phone Number: | 7635725710 |
Business Fax Number: | 7635282945 |
Mailing Address: | 6401 University Ave Ne, FRIDLEY |
State: | MN |
Postal Code: | 554324341 |
Phone Number: | 7635725710 |
Fax Number: | 7635713008 |
NPI Enumeration Date: | 09/25/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 6746 |
Healthcare Provider Taxonomy: (Secondary) | X |
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 |