Individual
ELIZABETH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2525 UNIVERSITY AVE SE, MINNEAPOLIS, MN 55414-3205
(612) 672-6697
Mailing address
11622 LITTLE BLUESTEM CIR N, LAKE ELMO, MN 55042-7523
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4893
MN
Other
Enumeration date
10/10/2006
Last updated
01/05/2015
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