Individual
JULIA ANTIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1978 128TH AVE NW, COON RAPIDS, MN 55448-7004
(763) 689-5385
Mailing address
1978 128TH AVE NW, COON RAPIDS, MN 55448-7004
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2012
MN
Other
Enumeration date
03/21/2011
Last updated
03/21/2011
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