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Organization
THERESA PLASENCIA PHYSICAL THERAPY, INC.
Active
Organization
THERESA PLASENCIA PHYSICAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA IRENE PLASENCIA RPT (OWNER)
(651) 246-2087
Entity
Organization
Contact information
Practice address
1030 COUNTY ROAD E W, SUITE 240, SHOREVIEW, MN 55126-8152
(651) 493-0626
(651) 493-8463
Mailing address
1030 COUNTY ROAD E W, SUITE 240, SHOREVIEW, MN 55126-8152
(651) 493-0626
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5930
MN
Other
Enumeration date
08/29/2007
Last updated
10/17/2012
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