Individual
TATYANA VALERIE BURLAKOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7500 W 22ND ST, MINNEAPOLIS, MN 55426-2602
(763) 213-4488
Mailing address
3036 W LAKE ST UNIT 217, MINNEAPOLIS, MN 55416-5236
(612) 423-1030
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A1267
MN
Other
Enumeration date
02/02/2023
Last updated
02/02/2023
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