Individual
CAROLINE HATLESTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2525 CHICAGO AVE SOUTH MS 17-501, MINNEAPOLIS, MN 55404
(612) 813-8962
Mailing address
6947 WYNDHAM BAY, WOODBURY, MN 55125-2766
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4378
MN
Other
Enumeration date
06/07/2007
Last updated
07/08/2007
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