RICHARD BOM

EDEN PRAIRIE, MN
NPI1689789554
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MN  2704)
Enumeration Date2006-08-20
Last Update Date2007-07-08
Business Address
-- RICHARD BOM PT
775 PRAIRIE CENTER DR #250
EDEN PRAIRIE, MN 55344-7314
Phone number: 952-944-5314
Mailing Address
-- RICHARD BOM PT
19540 VINE RIDGE RD
EXCELSIOR, MN 55331-9118
Phone number:
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