Provider Demographics
NPI:1659627719
Name:LIND, LILLIANA BARBARA CARIDAD (DPT)
Entity Type:Individual
Prefix:
First Name:LILLIANA
Middle Name:BARBARA CARIDAD
Last Name:LIND
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:LILLIANA
Other - Middle Name:
Other - Last Name:DE ARMAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4200 DAHLBERG DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:GOLDEN VALLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55422-4840
Mailing Address - Country:US
Mailing Address - Phone:952-512-5600
Mailing Address - Fax:952-512-5651
Practice Address - Street 1:12982 VALLEY VIEW RD
Practice Address - Street 2:
Practice Address - City:EDEN PRAIRIE
Practice Address - State:MN
Practice Address - Zip Code:55344-3657
Practice Address - Country:US
Practice Address - Phone:952-944-2519
Practice Address - Fax:952-944-0092
Is Sole Proprietor?:No
Enumeration Date:2012-07-26
Last Update Date:2016-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070.016920225100000X
MN10218225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist