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Individual

ERIN MILLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
800 E 28TH ST, MINNEAPOLIS, MN 55407-3723
(612) 863-6029
Mailing address
800 E 28TH ST, MINNEAPOLIS, MN 55407-3799
(612) 863-6029
(612) 863-8942

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11112
AZ
225100000X
Physical Therapist
Primary
12495
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11112
ARIZONA STATE LICENSE
AZ
01
12495
MINNESOTA BOARD OF PHYSICAL THERAPY, STATE LICENSE
MN
Enumeration date
09/02/2014
Last updated
06/19/2023
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