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Individual

CORINNA HARRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
1390 UNIVERSITY AVE W, SAINT PAUL, MN 55104-4001
(651) 232-5412
Mailing address
17023 WILDERNESS TRL SE, PRIOR LAKE, MN 55372-3383
(952) 440-7472

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5166
MN

Other

Enumeration date
11/07/2012
Last updated
11/07/2012
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