Individual
LAURA ELIZABETH MOGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
3800 AMERICAN BLVD W, BLOOMINGTON, MN 55431-4420
(952) 831-8742
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2121
ND
Other
Enumeration date
11/06/2018
Last updated
07/22/2024
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