Individual ProviderMarc P PalenPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address15301 Grove Cir N, Maple Grove, MN 55369-4475(952) 993-5900PECOS EnrollmentBased on the most recent information from CMS, provider Marc P Palen does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1508840539Provider TypeIndividualFull NamePalen, Marc PTitleMr.CredentialMPTGenderMaleSole ProprietorNoEnumeration Date12/2/2005Last Updated3/9/2021Contact InformationPractice LocationPractice Address15301 Grove Cir N, Maple Grove, MN 55369-4475Phone(952) 993-5900FaxUnlisted FaxMailing LocationMailing Address8170 33rd Ave S # Ms 21110q, Bloomington, MN 55425-4516PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicensePT018555Pennsylvania