Individual
MARTHA OLINE TRELSTAD SANDVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1119 OWENS ST N, STILLWATER, MN 55082-4316
(651) 439-7180
Mailing address
8224 RUSSEL AVE, WOODBURY, MN 55125-8419
(651) 702-3870
(651) 702-0332
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5580
MN
Other
Enumeration date
11/23/2007
Last updated
11/23/2007
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