Individual
MRS. KORISSA ANN MINTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 W RAILROAD ST, STORM LAKE, IA 50588-2449
(712) 213-8184
Mailing address
200 W RAILROAD ST, STORM LAKE, IA 50588-2449
(712) 213-8184
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
087250
IA
Other
Enumeration date
10/31/2017
Last updated
10/31/2017
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