Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 8552 | MN |
NPI | 1003120221 |
---|---|
Provider Name | Mrs. Rachel Elaine Satrom |
First Address | Edina, MN 55435-1902 |
Second Address | Coon Rapids, MN 55433-5639 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/07/2010 |
Last Update Date | 30/01/2014 |