Individual
KELI JO LOBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11269 JEFFERSON HWY N STE 200, CHAMPLIN, MN 55316-3165
(763) 236-0780
Mailing address
11269 JEFFERSON HWY N STE 200, CHAMPLIN, MN 55316-3165
(763) 236-0780
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9091
MN
Other
Enumeration date
08/13/2012
Last updated
04/03/2020
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