Individual
KRISTINE MARIE BALSIMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
1935 CTY RD B2, ROSEVILLE, MN 55113-5766
(651) 636-2666
Mailing address
2632 ALAMO CIR NE, BLAINE, MN 55449-5766
(651) 466-0170
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7116
LICENSE #
MN
Enumeration date
08/25/2006
Last updated
12/13/2012
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