Individual
MRS. DAWN RENE DITTEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14471 GLENBROOK AVE N, HUGO, MN 55038-8328
(651) 653-5040
Mailing address
14471 GLENBROOK AVE N, HUGO, MN 55038-8328
(651) 653-5040
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A667
MN
Other
Enumeration date
09/24/2009
Last updated
09/24/2009
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