Individual
MARY EMMANUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
701 PARK AVE, BLUE-3, MINNEAPOLIS, MN 55415-1623
(612) 873-4330
Mailing address
701 PARK AVE, BLUE-3, MINNEAPOLIS, MN 55415-1623
(612) 873-4330
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8228
MN
Other
Enumeration date
01/29/2010
Last updated
01/29/2010
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