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Individual

JERELYN K SHEEHAN

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
3915 GOLDEN VALLEY RD, COURAGE CENTER, GOLDEN VALLEY, MN 55422-4298
(763) 520-0709
(763) 520-0355
Mailing address
3915 GOLDEN VALLEY RD, COURAGE CENTER, GOLDEN VALLEY, MN 55422-4298
(763) 520-0709
(763) 520-0355

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1680
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6403149
MEDICA
01
9V805H
BCBS
MN
01
HP41179
HEALTHPARTNERS
Enumeration date
05/03/2006
Last updated
07/08/2007
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