Individual
DANELLE LOOMIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 HEALTHY WAY, OLIVIA, MN 56277-1117
(320) 523-1261
Mailing address
100 HEALTHY WAY, OLIVIA, MN 56277-1117
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10453
MN
Other
Enumeration date
11/09/2016
Last updated
11/09/2016
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