Individual
CHARLENE SCHLENVOGT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2501 RICE LAKE RD, DULUTH, MN 55811-4819
(218) 625-6400
Mailing address
911 CARLTON AVE, CLOQUET, MN 55720-1839
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A1758
MN
Other
Enumeration date
01/29/2014
Last updated
01/29/2014
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