IAN PROVENCE, DPT

DPT

Orthopedic Physical Therapist

NPI: 1225849870Individual

Specialties, Licenses & Credentials

Orthopedic Physical TherapistPrimary

Physical Therapist — Orthopedic

Code: 2251X0800X

Contact & Hours

Address: 9055 SPRINGBROOK DR NW
COON RAPIDS, MN 55433
Phone: (763) 228-2781

Quick Facts

NPI: 1225849870
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 1
Locations: 1

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