Individual
DAWN MARIE ALTSTATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
400 WABASHA ST N STE 260, SAINT PAUL, MN 55102-1147
(952) 831-8742
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
7421
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00199779
RAILROAD MEDICARE
MN
Enumeration date
03/14/2006
Last updated
03/11/2021
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