NPI 1821765306 · live from the CMS NPI Registry
Cortex Rehabilitation LLC
Physical Therapist, Neurology in Maple Grove, MN. National Provider Identifier 1821765306, active.
NPI record
| NPI | 1821765306 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist, Neurology 2251N0400X |
| Practice location | 11658 Fountains Dr, Maple Grove, MN 55369 |
| Practice phone | 612-284-1970 |
| Mailing address | 6620 Meadowlark Ln N, Maple Grove, MN 55369 |
| Enumerated | August 24, 2021 |
| Last updated | August 24, 2021 |
| Authorized official | Sarah Dueffert, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist, Neurology primary | 2251N0400X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.