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Individual

HEATHER L ENGELBERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
1270 NORTHLAND DR STE 175, MENDOTA HEIGHTS, MN 55120-1412
(651) 905-9000
(951) 454-1603
Mailing address
1939 MINNEHAHA AVE W STE 300, SAINT PAUL, MN 55104-1033
(651) 748-4338
(651) 748-2892

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6414
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
020503600
MN
01
196K1EN
BLUECROSS BLUESHIELD
MN
05
40370200
WI
01
HP33911
HEALTHPARTNERS
MN
Enumeration date
10/06/2006
Last updated
11/14/2023
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