Individual
ELISABETH THOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6600 AUTO CLUB RD, BLOOMINGTON, MN 55438-2425
(952) 946-2078
Mailing address
6802 CEDAR LAKE RD S APT N325, SAINT LOUIS PARK, MN 55426-2857
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
13277
MN
Other
Enumeration date
10/05/2023
Last updated
10/05/2023
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