Individual
KANDEIJA BAGURUSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2400 W 64TH ST, MINNEAPOLIS, MN 55423-1001
(612) 861-1688
Mailing address
2400 W 64TH ST, MINNEAPOLIS, MN 55423-1001
(612) 861-1688
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14059
MN
Other
Enumeration date
08/15/2025
Last updated
08/15/2025
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