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Lisa Nelezen

Physical Therapist in Minnetonka, MN. Individual provider (NPI-1).

NPI number1013127091
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1013127091
Entity type
Individual (NPI-1)
Name
Lisa Nelezen
Sex
Female
Sole proprietor
Yes
Enumeration date
May 22, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist2463MNYes

Practice location

2713 Autumnwood Ln
Minnetonka, MN 55305-3488

Phone 952-593-1592

Mailing address

2713 Autumnwood Ln
Minnetonka, MN 55305-3488

Phone 952-593-1592

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