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MS. CYNTHIA L. RIECK PT
Physical Therapy >> Clinic/Center >> Ambulatory Health Care FacilitiesRegistrant NPI Number: 1114054863
Individual Registrant:MS. CYNTHIA L. RIECK PT
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
31170 GOVERMENT DR PEQUOT LAKES, MN 56472-1001 US
Tel: 218-568-5666 Fax: 218-568-5466
Tel: 218-568-5666 Fax: 218-568-5466
Contact information for business:
31170 GOVERMENT DR PO BOX 331 PEQUOT LAKES, MN 56472-1001 US
Tel: 218-568-5666 Fax: 218-568-5466
Tel: 218-568-5666 Fax: 218-568-5466
Registration Information:
NPI: 1114054863
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 261QP2000X | Ambulatory Health Care Facilities Clinic/Center Physical Therapy | MN | 1982 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
