Individual
MRS. LORYN KELLY FOLLRATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
1516 W LAKE ST, MINNEAPOLIS, MN 55408-2554
(612) 396-9780
Mailing address
4300 DUPONT AVE S, MINNEAPOLIS, MN 55409-1717
(612) 827-2278
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5637
MN
Other
Enumeration date
09/21/2010
Last updated
09/21/2010
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