Individual
KARISA WANDERSEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2512 S 7TH ST, MINNEAPOLIS, MN 55454-1404
(612) 273-8664
Mailing address
2044 GRAND AVE, SAINT PAUL, MN 55105-1445
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A2090
MN
Other
Enumeration date
11/15/2016
Last updated
11/15/2016
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