Individual
MS. IRENE A LENMARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
320 COON RAPIDS BLVD NW STE 100, COON RAPIDS, MN 55433-5640
(763) 201-8191
(763) 201-8192
Mailing address
9645 GROVE CIR N STE 200, MAPLE GROVE, MN 55369-2684
(763) 201-8191
(763) 201-8192
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8079
MN
Other
Enumeration date
06/11/2008
Last updated
07/19/2021
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