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Individual

AMY SUE ANDERSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MPT

Contact information

Practice address
1970 OAKCREST AVE, SUITE 107, ROSEVILLE, MN 55113-2624
(651) 636-6330
Mailing address
7645 BEHM LN, LINO LAKES, MN 55014-2902
(651) 784-7389

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6280
MN

Other

Enumeration date
11/03/2006
Last updated
07/31/2008
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