Individual
LINDSEY DECAMBALIZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7505 COUNTRY CLUB DR, GOLDEN VALLEY, MN 55427-4501
(763) 450-6900
Mailing address
1305 WIDGEON WAY, BUFFALO, MN 55313-2265
(763) 258-9103
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A1988
MN
Other
Enumeration date
02/18/2016
Last updated
02/18/2016
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