Individual
JENNA KAE SAGEDAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1656 CENTRAL ST W, BAGLEY, MN 56621-4357
(218) 694-6640
Mailing address
1656 CENTRAL ST W, BAGLEY, MN 56621-4357
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
11304
MN
Other
Enumeration date
11/26/2018
Last updated
11/26/2018
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