Individual
SHAHLA MIRBAGHRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7650 CURRELL BLVD, WOODBURY, MN 55125-2257
(651) 207-6493
Mailing address
7650 CURRELL BLVD # 325, WOODBURY, MN 55125-2257
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11932
MN
Other
Enumeration date
09/11/2020
Last updated
09/11/2020
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