Individual
RENEE JEAN PERSSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
8425 SEASONS PKWY, SUITE 103, WOODBURY, MN 55125-4392
(651) 254-8545
Mailing address
8425 SEASONS PKWY, SUITE 103, WOODBURY, MN 55125-4392
(651) 254-8545
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
625
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A176977400
UMPI
MN
Enumeration date
12/30/2008
Last updated
12/30/2008
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