Individual
ERIN KYLE LOVIK-LUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3915 GOLDEN VALLEY RD, GOLDEN VALLEY, MN 55422-4249
(763) 520-0449
Mailing address
5450 LANDMARK CIR, SAINT PAUL, MN 55112-1486
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A1418
MN
Other
Enumeration date
08/05/2010
Last updated
11/30/2010
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