Individual
BETHANY DIGIOVANNI TRANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
11800 XEON BLVD NW, COON RAPIDS, MN 55448-2061
(612) 240-1350
Mailing address
11800 XEON BLVD NW, COON RAPIDS, MN 55448-2061
(612) 240-1350
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10809
MN
Other
Enumeration date
01/14/2022
Last updated
01/14/2022
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