Individual
ANNE IWANIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7727 PORTLAND AVE, RICHFIELD, MN 55423-4320
(612) 861-1691
Mailing address
7727 PORTLAND AVE S, RICHFIELD, MN 55423-4320
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
250A
MN
Other
Enumeration date
06/14/2013
Last updated
06/14/2013
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