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Individual

ROXANNE MARIE CRUCIANI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
41 EAST COUNTY ROAD C, #211, LITTLE CANADA, MN 55117
(612) 986-1738
Mailing address
23443 JOHN NELSON RD, SIREN, WI 54872-8462
(612) 986-1738

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2928-19
WI
225200000X
Physical Therapy Assistant
A1317
MN

Other

Enumeration date
12/17/2015
Last updated
09/24/2020
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