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MIXA DIPAK PATEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
8380 HIAWATHA AVE, EDEN PRAIRIE, MN 55337
(612) 906-9734
Mailing address
8380 HIAWATHA AVE, EDEN PRAIRIE, MN 55347-1548
(952) 906-9734

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A477
MN

Other

Enumeration date
06/01/2015
Last updated
06/01/2015
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