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Individual

CAROLINE MORAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
404 HIGHWAY 96 W STE C, SHOREVIEW, MN 55126-1956
(651) 275-4706
(651) 765-4108
Mailing address
1939 MINNEHAHA AVE W STE 300, SAINT PAUL, MN 55104-1033
(651) 748-4338
(651) 748-2892

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12622
MN
225100000X
Physical Therapist
16151
WI

Other

Enumeration date
06/30/2022
Last updated
11/21/2022
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