Individual
JULIANA MALONE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2925 BUCKLEY WAY, INVER GROVE HEIGHTS, MN 55076-2018
(651) 455-0561
Mailing address
2925 BUCKLEY WAY, INVER GROVE HEIGHTS, MN 55076-2018
(651) 455-0561
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11156
MN
Other
Enumeration date
01/10/2019
Last updated
01/10/2019
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