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Individual

CANDACE K PELLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
500 OSBORNE RD NE STE 365, FRIDLEY, MN 55432-2769
(763) 236-2150
(637) 236-2155
Mailing address
500 OSBORNE RD NE STE 365, FRIDLEY, MN 55432-2769
(763) 236-2150
(637) 236-2155

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4734
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
125107
UCARE
MN
01
134G1PE
BLUE CROSS BLUE SHIELD
MN
01
6405366
MEDICA
MN
05
713523800
MN
01
936131043346
PREFERRED ONE
MN
01
HP49410
HEALTH PARTNERS
MN
Enumeration date
05/25/2006
Last updated
04/26/2022
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