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Individual
TELLA KATARINA MINKKINEN
Active
Individual
TELLA KATARINA MINKKINEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501008693
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
650D114710
BCBSM
MI
01
—
P00254070
RAILROAD MEDICARE
—
Enumeration date
05/20/2006
Last updated
11/19/2008
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