Individual
LORI LEE HAUSKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
500 PARK ST E, ANNANDALE, MN 55302-3060
(320) 274-2394
Mailing address
500 PARK ST. E, ANNANDALE, MN 55302
(320) 274-2394
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A1041
MN
Other
Enumeration date
09/24/2008
Last updated
09/24/2008
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