Individual
MRS. AMY CHRISTINE BELISLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
295 PHALEN BLVD, SAINT PAUL, MN 55130-2400
(651) 254-7700
Mailing address
295 PHALEN BLVD, SAINT PAUL, MN 55130-2400
(651) 254-7700
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A1551
MN
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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