Individual
KAY ELIZABETH LICHTENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
4415 W 36.5 ST, ST. LOUIS PARK, MN 55416
(952) 927-7687
Mailing address
4415 W 36.5 ST, ST. LOUIS PARK, MN 55416
(952) 927-7687
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
9379
MN
Other
Enumeration date
09/05/2013
Last updated
09/05/2013
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