Individual
MISS RENEE JOANN MADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
14655 GALAXIE AVEUNE, APPLE VALLEY, MN 55124-8575
(651) 241-3880
(651) 241-3890
Mailing address
14655 GALAXIE AVE, APPLE VALLEY, MN 55124-8575
(651) 241-3880
(651) 241-3890
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A206
MN
Other
Enumeration date
02/08/2012
Last updated
02/08/2012
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