Individual
INNA KUZNETSOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3815 W BROADWAY AVE, ROBBINSDALE, MN 55422-2207
(612) 332-4262
Mailing address
8701 32ND AVE N, NEW HOPE, MN 55427-2416
(612) 207-1148
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A30
MN
Other
Enumeration date
05/28/2014
Last updated
05/28/2014
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