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Individual

ALEXA JESSE MIESBAUER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
2090 WOODWINDS DR STE 100, WOODBURY, MN 55125-2522
(651) 968-5600
(651) 968-5898
Mailing address
709 VICTORIA ST S, SAINT PAUL, MN 55102-3169
(605) 280-8016

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10112
MN

Other

Enumeration date
05/13/2019
Last updated
05/13/2019
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