Ashley Annmarie Haddenhorst PTA

NPI 1780931584 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1780931584
Gender Female
Enumeration Date 08/10/2012
Last Updated 08/10/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
825 1ST AVE NW
NEW BRIGHTON MN, 55112-6846, US
Phone (651) 633-7875
Fax
Business Location
2838 FREMONT AVE S UNIT 103
MINNEAPOLIS MN, 55408-4803, US
Phone (612) 708-4727
Fax
Toxanomy
Taxonomy Code 225200000X
License State Minnesota
License Number A1503
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According to our database, Mrs. Ashley Annmarie Haddenhorst PTA NPI is 1780931584, taxonomy code is 225200000X and license number is A1503, license state is located at Minnesota. Ashley Annmarie Haddenhorst PTA physically located at 825 1st Ave Nw, New Brighton MN, 55112-6846. NPI Number Ashley Annmarie Haddenhorst PTA has the Individual type.

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1780931584 NPI number is provided on an as is basis without warranty of any kind. 1780931584 is maintained by the National Plan & Provider Enumeration System. The contents of Ashley Annmarie Haddenhorst PTA are for informational purposes only.