Individual
ALEXANDRA KATHLEEN BANGASSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
500 PARK ST E, ANNANDALE, MN 55302-3060
(320) 274-2394
Mailing address
20417 PINTAIL CT, ROGERS, MN 55374-8783
(763) 516-2152
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10792
MN
Other
Enumeration date
08/11/2017
Last updated
08/11/2017
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