Individual
MRS. KELLY JEAN LINDBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1003 ISANTI PKWY NW, ISANTI, MN 55040-7507
(612) 280-7176
Mailing address
1003 ISANTI PKWY NW, ISANTI, MN 55040-7507
(612) 280-7176
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A443
MN
Other
Enumeration date
08/15/2013
Last updated
08/15/2013
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