Individual
LISA MARIE CORDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
27395 COUNTY HIGHWAY 61, HENNING, MN 56551-9238
(218) 583-4237
Mailing address
27395 COUNTY HIGHWAY 61, HENNING, MN 56551-9238
(218) 583-4237
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A900
MN
Other
Enumeration date
04/21/2016
Last updated
04/21/2016
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