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Individual

BETH M HOPPE-STIDHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
360 SHERMAN ST, SUITE 400, SAINT PAUL, MN 55102-2564
(651) 999-6938
(651) 702-7343
Mailing address
2550 UNIVERSITY AVE W, SUITE 240N, SAINT PAUL, MN 55114-1052
(651) 999-6909
(651) 999-6830

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4559
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
725514400
MN
Enumeration date
10/11/2006
Last updated
09/26/2007
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