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1558779777
LARS PETERSEN
WOODBURY, MN
NPI
1558779777
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MN 9742)
Additional Taxonomies
225100000X Physical Therapist
Enumeration Date
2014-07-31
Last Update Date
2021-07-20
Business Address
LARS PETERSEN PT, DPT
257 RIVERTOWN DR
WOODBURY, MN 55125-7726
Phone number: 651-528-6461
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Mailing Address
LARS PETERSEN PT, DPT
7581 9TH ST N STE 100
OAKDALE, MN 55128-6635
Phone number: 651-748-4338
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