Individual
MRS. ANDREA LORRAINE BENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
701 DELLWOOD ST S, MAIL ROUTE 71000, CAMBRIDGE, MN 55008-1920
(763) 689-7716
(763) 689-7716
Mailing address
23978 JOHNSON ST NE, EAST BETHEL, MN 55005-9874
(763) 434-1188
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6999
MN
Other
Enumeration date
02/22/2007
Last updated
07/08/2007
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