Individual
ANDREA VAVRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
8100 NORTHLAND DR, BLOOMINGTON, MN 55431-4800
(952) 866-5660
Mailing address
8100 NORTHLAND DR, BLOOMINGTON, MN 55431-4800
(952) 806-5660
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2362
MN
Other
Enumeration date
08/05/2015
Last updated
05/12/2016
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