Individual
ALDA L LISK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5385 ORCHID LN N, PLYMOUTH, MN 55446-3789
(612) 860-1954
Mailing address
5385 ORCHID LN N, PLYMOUTH, MN 55446-3789
(612) 860-9654
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
011718
OH
225100000X
Physical Therapist
070016375
IL
225100000X
Physical Therapist
Primary
8963
MN
Other
Enumeration date
04/17/2007
Last updated
07/21/2021
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