OrganizationActive
Physical and Occupational Medicine Associates, PA
NPI 1023070554 · Medical Specialty Clinic/Center · St Louis Park, MN
Provider details
- NPI number
- 1023070554
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- John Sandness, President
- License
- 28205 (MN)
Practice location
3601 Park Center Blvd
Suite 311
St Louis Park, MN 55416-2531
Phone: (952) 922-2012
Fax: (952) 922-2013
Mailing address
3601 Park Center Blvd
St Louis Park, MN 55416-2531
Registry dates
- Enumerated
- 2006-04-02
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.