Individual
RENEE CARON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
6776 LAKE DR, SUITE 220, LINO LAKES, MN 55014-1191
(651) 784-7007
Mailing address
2823 FOREST DALE RD, NEW BRIGHTON, MN 55112-7625
(608) 577-2088
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
12695-24
WI
225100000X
Physical Therapist
Primary
9646
MN
Other
Enumeration date
08/21/2014
Last updated
08/04/2016
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