Individual
MS. MARY KATHLEEN DELACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
6025 LAKE RD, WOODBURY, MN 55125-1712
(612) 439-4222
(651) 730-1979
Mailing address
6025 LAKE RD STE 200, WOODBURY, MN 55125-1710
(612) 439-4222
(651) 730-1979
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6201
MN
Other
Enumeration date
03/07/2006
Last updated
11/06/2020
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