Individual
MS. KATHERINE SEBASTIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
14635 PENNOCK AVE, SUITE #300, APPLE VALLEY, MN 55124-6430
(651) 994-9644
(651) 994-8962
Mailing address
2795 PILOT KNOB ROAD, SUITE #100, EAGAN, MN 55121-1176
(651) 994-9644
(651) 994-8962
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
9432
MN
225100000X
Physical Therapist
Primary
9432
MN
225100000X
Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9432
STATE
MN
Enumeration date
08/14/2013
Last updated
02/09/2015
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