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Patricia Egelston

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

NPI number1649688482
StatusActive
Last updated in NPPESJul 28, 2014

Details

NPI
1649688482
Entity type
Individual (NPI-1)
Name
Patricia Egelston
Sex
Female
Sole proprietor
No
Enumeration date
Jul 24, 2014
Last updated
Jul 28, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist1970MNYes

Practice location

17305 Cedar Ave S
Suite 100
Lakeville, MN 55044-3901

Phone 952-851-6000

Mailing address

17305 Cedar Ave S
Suite 100
Lakeville, MN 55044-3901

Phone 952-851-6000

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