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Individual

ALLISON MARIE BEARDSLEY BAUMLI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
12400 PORTLAND AVE STE 140, BURNSVILLE, MN 55337-6805
(952) 428-0400
Mailing address
12400 PORTLAND AVE STE 140, BURNSVILLE, MN 55337-6805

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9995
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
9995
MN PT LICENSE
MN
Enumeration date
08/25/2015
Last updated
02/26/2020
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