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Individual

ANDREA NEWPORT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
12217 CHAMPLIN DR, CHAMPLIN, MN 55316-1930
(763) 323-1492
(763) 422-1657
Mailing address
12217 CHAMPLIN DR, CHAMPLIN, MN 55316-1930
(763) 323-1492
(763) 422-1657

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6548
MN

Other

Enumeration date
10/06/2006
Last updated
03/19/2019
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