Individual
LORENE RAUTANEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3700 CEDAR LAKE AVE, MINNEAPOLIS, MN 55416-4240
(612) 925-7247
Mailing address
3700 CEDAR LAKE AVE, MINNEAPOLIS, MN 55416-4240
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6769
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6769
PT LICENSE
MN
Enumeration date
05/14/2007
Last updated
07/08/2007
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