Individual
ELLINA ANDREYEVNA MUDRAYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5430 BOONE AVE N, NEW HOPE, MN 55428-3615
(763) 592-2600
Mailing address
15260 BARIUM ST NW, RAMSEY, MN 55303-5986
(763) 227-4542
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A2941
MN
Other
Enumeration date
12/26/2023
Last updated
12/26/2023
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