Individual
MACKENZIE DWYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
640 JACKSON ST, SAINT PAUL, MN 55101-2595
(651) 254-3456
Mailing address
514 EDITH AVE, SAINT PAUL, MN 55115-2030
(913) 314-2692
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
06/08/2021
Last updated
06/08/2021
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