Individual
ALEKSANDR VOZNYUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
5021 FOUNTAIN LN N, PLYMOUTH, MN 55446-2454
(763) 245-8072
Mailing address
5021 FOUNTAIN LN N, PLYMOUTH, MN 55446-2454
(612) 222-5868
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A1449
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A1449
MN BOARD OF PT
MN
Enumeration date
05/28/2013
Last updated
05/28/2013
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