Individual
LISA MARIE OVERHOLSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22 27TH AVE SE, MINNEAPOLIS, MN 55414-3102
(888) 873-4221
Mailing address
1968 TIMBER WOLF TRL N, EAGAN, MN 55122-2228
(507) 327-3186
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
07/04/2007
Last updated
07/11/2007
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