Stacia R Anderson PT

NPI 1730297300 - Physical Therapist - 225100000X

NPI Details
NPI 1730297300
Gender Female
Enumeration Date 08/25/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
146 LAKE ST N
FOREST LAKE MN, 55025-2518, US
Phone (651) 464-8502
Fax (651) 464-8547
Business Location
2399 ARIEL ST N
SUITE B
MAPLEWOOD MN, 55109-2203, US
Phone (651) 748-4338
Fax (651) 748-2892
Toxanomy
Taxonomy Code 225100000X
License State Minnesota
License Number 4512
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According to our database, Stacia R Anderson PT NPI is 1730297300, taxonomy code is 225100000X and license number is 4512, license state is located at Minnesota. Stacia R Anderson PT physically located at 146 Lake St N, Forest Lake MN, 55025-2518. NPI Number Stacia R Anderson PT has the Individual type.

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1730297300 NPI number is provided on an as is basis without warranty of any kind. 1730297300 is maintained by the National Plan & Provider Enumeration System. The contents of Stacia R Anderson PT are for informational purposes only.