Individual
MRS. LYNETTE DANIELLE MCGRATH-MANSOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.P.T.
Contact information
Practice address
1406 6TH AVE N, SAINT CLOUD, MN 56303-1900
(320) 251-2700
Mailing address
1821 30TH ST S, SAINT CLOUD, MN 56301-9029
(320) 251-2700
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5633
MN
Other
Enumeration date
03/18/2007
Last updated
07/08/2007
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