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Individual

DEBORAH M. REAGEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
1976 WOODDALE DRIVE, WOODBURY, MN 55125-5304
(651) 271-1512
Mailing address
14855 19TH ST N, STILLWATER, MN 55082-1803
(651) 436-2016

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2057
MN
225100000X
Physical Therapist
423
ND

Other

Enumeration date
11/24/2005
Last updated
10/28/2009
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