COLLEEN M VIVANT

MINNEAPOLIS, MN
NPI1710260161
Former NameCOLLEEN AHLBERG
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MN  A1715)
Enumeration Date2011-09-22
Last Update Date2013-09-18
Business Address
-- COLLEEN M VIVANT PTA
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454-1450
Phone number: 612-273-3000
Mailing Address
-- COLLEEN M VIVANT PTA
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454-1450
Phone number:
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