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Individual

SANDRA LEE HEPP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
4330 CEDAR LAKE RD S, ST LOUIS PARK, MN 55416-3700
(952) 381-3434
(952) 377-1430
Mailing address
4330 CEDAR LAKE RD S, ST LOUIS PARK, MN 55416-3700
(952) 381-3434
(952) 377-1430

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
774
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
774
PHYSICAL THERAPY LICENSE
MN
Enumeration date
06/09/2009
Last updated
06/09/2009
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