Individual
SONAM PAICHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5855 CHESHIRE PKWY, PLYMOUTH, MN 55446-4005
(763) 744-9400
Mailing address
1811 26TH AVE NW, NEW BRIGHTON, MN 55112-1744
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A2843
MN
Other
Enumeration date
07/05/2023
Last updated
07/05/2023
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