Individual
MRS. VANESSA HOPE CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
101 14TH ST NE, BUFFALO, MN 55313-2927
(763) 684-3880
(763) 684-3881
Mailing address
707 9TH ST NW, BUFFALO, MN 55313-1009
(763) 682-4167
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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