Most Relevant Information
Provider Data
NPI Number: | 1003340431 |
Provider Name: | SHANE POCHANT |
Entity Type: | Individual |
Taxonomy Code: | 225100000X |
Specialty: | Physical Therapist |
License Number: | 9496 |
Most Important Dates
Enumeration Date: | 04/12/2017 |
Last Updated: | 04/12/2017 |
Provider Practice Location
3915 GOLDEN VALLEY RD
MINNEAPOLIS
MN
554224249
Practice Location Phone/Fax
Phone: | 6127752455 |
Fax: |
Provider Mailing Location
7133 MORGAN AVE S
RICHFIELD
MN
554232939
Provider Mailing Phone/Fax
Phone: | 6053912817 |
Fax: |