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1124619713
BRETT BLACK
MINNEAPOLIS, MN
NPI
1124619713
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MN 11968)
Enumeration Date
2021-01-27
Last Update Date
2021-08-25
Business Address
BRETT BLACK PT, DPT
945 BROADWAY ST NE STE 165
MINNEAPOLIS, MN 55413-2769
Phone number: 612-767-9917
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Mailing Address
BRETT BLACK PT, DPT
7581 9TH ST N STE 100
OAKDALE, MN 55128-6635
Phone number: 651-748-4338
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