Individual
MONICA CRISTINA KASARI-DESULME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4289 UGSTAD RD, HERMANTOWN, MN 55811-3615
(218) 786-3100
(218) 576-0779
Mailing address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940
(701) 364-4999
(701) 364-8476
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5556
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116637900
—
MN
01
—
83453A
BCBS
MN
Enumeration date
08/19/2006
Last updated
06/30/2021
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