Individual
MRS. LISA MARIE PARTYKA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
4080 W BROADWAY AVE, ROBBINSDALE, MN 55422-5604
(763) 792-5147
Mailing address
11216 ISANTI CT NE, BLAINE, MN 55449-6113
(763) 208-1650
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
MN
Other
Enumeration date
06/18/2006
Last updated
07/08/2007
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