Individual
SAUNDRA MARIE NEISEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
825 1ST AVE NW, NEW BRIGHTON, MN 55112-6846
(651) 633-7875
Mailing address
8770 TAMARACK ST NW, COON RAPIDS, MN 55433-5958
(330) 575-7516
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8751
MN
Other
Enumeration date
08/08/2011
Last updated
08/08/2011
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