Individual
ALICE MANGEN ENGELHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
640 JACKSON STREET, ST. PAUL, MN 55101-2595
(651) 254-2032
Mailing address
2772 IRENE CIR, ROSEVILLE, MN 55113-2328
(651) 484-9268
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2119
MN
Other
Enumeration date
01/24/2007
Last updated
07/08/2007
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