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Individual

KELLEY L PAULSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
1055 WESTGATE DR, SUITE 100, SAINT PAUL, MN 55114-1065
(651) 829-4981
Mailing address
1055 WESTGATE DR, SUITE 100, SAINT PAUL, MN 55114-1065
(651) 829-4981

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8541
MN

Other

Enumeration date
10/23/2014
Last updated
10/23/2014
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