Individual
HEATHER A VANGROOTHEEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2640 EAGAN WOODS DR STE 120, EAGAN, MN 55121-1466
(651) 767-3030
(651) 767-3031
Mailing address
310 SMITH AVE N STE 370, SAINT PAUL, MN 55102-2383
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A793
MN
Other
Enumeration date
09/23/2008
Last updated
09/23/2008
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