NPI 1043654064

Catherine Lake

Practitioner Physical Therapy Assistant Burnsville, MN

Practice location

Address: 100 Cobblestone Ln, Burnsville, MN 55337-4578
Phone: (952) 898-5700

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence A1631 (MN)

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Registry record

NPI: 1043654064
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Apr 2013
Record last updated: 21 Apr 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.