Theresa Plasencia Physical Therapy, Inc.

NPI #1194919571 in Shoreview, Minnesota

Provider Information

NPI Number: 1194919571
Entity Type: Organization
Organization Name: Theresa Plasencia Physical Therapy, Inc.
Primary Specialty: Physical Therapist
Enumeration Date: Aug 29, 2007
Last Updated: Oct 17, 2012

Practice Location

Address: 1030 COUNTY ROAD E W
Address 2: SUITE 240
City: Shoreview
State: Minnesota
ZIP Code: 55126-8152
Phone: (651) 493-0626

Authorized Official

Name: THERESA IRENE PLASENCIA, RPT
Title: OWNER
Phone: (651) 246-2087

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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