Individual
MRS. LISA KAY VANBERKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
8559 EDINBROOK PKWY, #104, BROOKLYN PARK, MN 55443-3747
(763) 425-5461
Mailing address
1601 207TH LN NE, EAST BETHEL, MN 55011-4752
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6985
MN
Other
Enumeration date
08/21/2006
Last updated
07/08/2007
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