Individual
LISA SUE HARMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1825 WOODWINDS DR, SUITE 100, WOODBURY, MN 55125-2202
(651) 326-0054
(651) 232-6766
Mailing address
1825 WOODWINDS DR, SUITE 100, WOODBURY, MN 55125-2202
(651) 326-0054
(651) 232-6766
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A1043
MN
Other
Enumeration date
11/06/2012
Last updated
11/06/2012
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