Individual
JULIE MICHELLE ANGEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
701 25TH AVE S, #500, MINNEAPOLIS, MN 55454-1513
(612) 672-6697
Mailing address
3129 42ND AVE S, MINNEAPOLIS, MN 55406-2240
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
06/13/2007
Last updated
07/08/2007
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