Individual
LISA FENSKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 E 28TH ST, MINNEAPOLIS, MN 55407-3723
(612) 863-4447
Mailing address
3452 VIVIAN AVE, SHOREVIEW, MN 55126-3853
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6213
MN
Other
Enumeration date
12/18/2008
Last updated
12/18/2008
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