ALEXANDRA ELIZABETH ILLG

FARIBAULT, MN
NPI1730606815
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MN  10928)
Enumeration Date2017-08-29
Last Update Date2020-04-02
Business Address
ALEXANDRA ELIZABETH ILLG DPT
35 STATE AVE
FARIBAULT, MN 55021-6368
Phone number: 507-497-3722
Mailing Address
ALEXANDRA ELIZABETH ILLG DPT
14103 PLYMOUTH AVE
BURNSVILLE, MN 55337-5719
Phone number: 651-472-2388
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