Individual
SARAH LYNN THEISEN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
11269 JEFFERSON HWY N, CHAMPLIN, MN 55316-3123
(612) 427-9620
(612) 427-9626
Mailing address
PO BOX 43, MR 10809, MINNEAPOLIS, MN 55440-0043
(612) 262-4813
(612) 262-4194
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4524
MN
Other
Enumeration date
04/05/2006
Last updated
07/08/2007
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