Individual
KRISTIN GREGORICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15000 MINNETONKA BLVD, MINNETONKA, MN 55345-1506
(952) 935-4037
Mailing address
3239 YOSEMITE AVE S, ST LOUIS PARK, MN 55416-2139
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7073
LICENSE#
MN
Enumeration date
05/24/2007
Last updated
03/25/2008
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