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Individual

LISA HOIUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
5700 BOTTINEAU BLVD, SUITE 200, CRYSTAL, MN 55429-3183
(763) 535-7607
(763) 535-7649
Mailing address
8400 GOLDEN VALLEY RD, BOX 1315, GOLDEN VALLEY, MN 55427-4457
(218) 310-3739

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9353
MN

Other

Enumeration date
08/09/2013
Last updated
08/09/2013
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