Individual
KAITLIN HAIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1769 LEXINGTON AVE N, 286, ROSEVILLE, MN 55113
(952) 835-4512
Mailing address
1769 LEXINGTON AVE N, 286, ROSEVILLE, MN 55113-6522
(952) 835-4512
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
MN
Other
Enumeration date
07/19/2016
Last updated
08/03/2018
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