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Individual

ASHLEY TAKEKAWA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
7815 3RD ST N STE 203, OAKDALE, MN 55128-5443
(952) 835-4512
(952) 516-5655
Mailing address
9829 LEE DR, EDEN PRAIRIE, MN 55347-4801
(952) 835-4512
(952) 516-5655

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2893
MN

Other

Enumeration date
07/12/2012
Last updated
07/12/2012
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