Individual
LEE KORTHOF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
295 PHALEN BLVD, SAINT PAUL, MN 55130-2400
(651) 254-0707
Mailing address
197 ISABEL ST W, SAINT PAUL, MN 55107-2157
(651) 224-3167
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5087
MN
Other
Enumeration date
02/14/2007
Last updated
12/18/2012
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