Individual
LINDA MORTENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
1994 E RUM RIVER DR S, CAMBRIDGE, MN 55008-2663
(763) 689-5385
Mailing address
1994 E RUM RIVER DR S, CAMBRIDGE, MN 55008-2663
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4067
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
029M3MO
BCBS
MN
01
—
6402324
MEDICA
MN
Enumeration date
09/28/2006
Last updated
07/09/2007
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