Individual
BIANCA SPARROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
7900 W 28TH ST, ST LOUIS PARK, MN 55426-3011
(952) 920-8380
Mailing address
2230 PLYMOUTH RD APT 213, MINNETONKA, MN 55305-2347
(210) 913-5161
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
6183
MN
Other
Enumeration date
02/08/2016
Last updated
02/08/2016
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