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Individual

ANNE ADIX

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
12217 CHAMPLIN DR, CHAMPLIN, MN 55316-1930
(763) 323-1492
(763) 422-1657
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
5938
MN
225100000X
Physical Therapist
Primary
5938
MN

Other

Enumeration date
09/27/2006
Last updated
03/09/2021
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