Individual
CORINNE J TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
675 E NICOLLET BLVD, #135, BURNSVILLE, MN 55337-6700
(952) 892-2650
Mailing address
9801 185TH ST E, PRIOR LAKE, MN 55372-9378
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1152
MN
Other
Enumeration date
08/09/2006
Last updated
07/08/2007
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