Individual
KELLY CHRISTINE SANBORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
703 THIELEN DR, SAINT MICHAEL, MN 55376-9613
(763) 497-1153
(763) 497-5256
Mailing address
703 THIELEN DR, SAINT MICHAEL, MN 55376-9613
(763) 497-1153
(763) 497-5256
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004900
IA
Other
Enumeration date
02/15/2012
Last updated
06/13/2013
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