Individual
MOLLY L SORENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
8650 HUDSON BLVD N, SUITE 310, LAKE ELMO, MN 55042-9747
(651) 702-6932
Mailing address
7541 9TH ST N, OAKDALE, MN 55128-6626
(651) 748-4338
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7610
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
937993200
—
MN
Enumeration date
10/11/2006
Last updated
07/02/2009
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