Individual
MS. DEBRA JEAN MUSGROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
911 NORTHLAND DR, PRINCETON, MN 55371-2172
(763) 389-6420
Mailing address
18943 JOPLIN ST NW, ELK RIVER, MN 55330-2906
(763) 389-6420
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
001218
WV
Other
Enumeration date
06/11/2007
Last updated
07/08/2007
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