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Organization

PILATES MN

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. PAMELA A HASSELBRING NONE (OWNER/OPERATOR)
(952) 476-0304
Entity
Organization

Contact information

Practice address
864 LAKE ST E, WAYZATA, MN 55391-1803
(952) 476-0304
Mailing address
864 LAKE ST E, WAYZATA, MN 55391-1803
(952) 476-0304

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
MN

Other

Enumeration date
05/10/2011
Last updated
05/10/2011
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