Individual
PATRICIA ANDERSON MAGNUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1300 GODWARD ST NE, SUITE 1500, MINNEAPOLIS, MN 55413-1741
(612) 746-4747
Mailing address
641 HACKMORE DRIVE, EAGAN, MN 55123
(612) 378-7235
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1620
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
42D42MA
BC BS
MN
Enumeration date
11/01/2006
Last updated
07/08/2007
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