Jacqueline Crandell
Physical Therapist in Minneapolis, MN. Individual provider (NPI-1).
NPI number1669919692
StatusActive
Last updated in NPPESJan 29, 2017
Details
- NPI
- 1669919692
- Entity type
- Individual (NPI-1)
- Name
- Jacqueline Crandell
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 29, 2017
- Last updated
- Jan 29, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 10025 | MN | Yes |
Practice location
800 E 28th StMinneapolis, MN 55407-3723
Phone 612-863-4000
Mailing address
2835 Dupont Ave S Apt N218Minneapolis, MN 55408-4909
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