Individual
JACQUELINE M ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
300 COON RAPIDS BLVD NW, COON RAPIDS, MN 55433-5643
(763) 767-0854
Mailing address
300 COON RAPIDS BLVD NW, COON RAPIDS, MN 55433-5643
(763) 767-0854
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8641
MN
Other
Enumeration date
10/13/2010
Last updated
10/13/2010
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