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Individual
ANDREA MICHAELSEN
Active
Individual
ANDREA MICHAELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
080849
IA
225200000X
Physical Therapy Assistant
01152
IA
Other
Enumeration date
09/28/2013
Last updated
12/02/2020
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