Individual
MRS. CHERYL L TIBESAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4330 CEDAR LAKE RD S, ST LOUIS PARK, MN 55416-3700
(952) 381-3434
(952) 377-1430
Mailing address
4330 CEDAR LAKE RD S, ST LOUIS PARK, MN 55416-3700
(952) 381-3434
(952) 377-1430
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1544
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6403620
MEDICA
MN
01
—
HP41170
HEALTH PARTNERS
MN
Enumeration date
08/13/2006
Last updated
08/14/2007
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