Individual
JILL TOSTENRUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4010 W 65TH ST, SUITE 105, EDINA, MN 55435-1721
(952) 285-2840
Mailing address
4010 W 65TH ST, SUITE 105, EDINA, MN 55435-1721
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4930
MN
Other
Enumeration date
09/24/2007
Last updated
09/24/2007
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