Individual
MRS. LYUDMILA I GITLEVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
800 BOONE AVE N, SUITE 200, GOLDEN VALLEY, MN 55345-6100
(763) 417-8888
Mailing address
18300 CREEKS BEND DR, MINNETONKA, MN 55345-6100
(952) 465-1545
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A24
MN
Other
Enumeration date
12/30/2010
Last updated
12/30/2010
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