Individual
ABIGAIL R IMMERFALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
333 SMITH AVE N, SAINT PAUL, MN 55102-2344
(651) 241-8000
Mailing address
1018 COMO PL, SAINT PAUL, MN 55103-1319
(608) 347-2622
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12562
MN
Other
Enumeration date
01/23/2022
Last updated
01/23/2022
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