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Individual

MEGAN SMITH-CANNISTRACI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
3025 HARBOR LN N, SUITE 314, PLYMOUTH, MN 55447-5119
(763) 559-0356
(763) 559-5193
Mailing address
7581 9TH ST N, SUITE 100, OAKDALE, MN 55128-6626
(651) 748-4338
(651) 748-2892

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4401
MN

Other

Enumeration date
02/08/2007
Last updated
07/08/2007
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