Individual
JILL WELLNITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3800 PARK NICOLLET BLVD, ST LOUIS PARK, MN 55416-2527
(952) 993-1111
Mailing address
5900 YORK AVE S, EDINA, MN 55410-2826
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9445
MN
Other
Enumeration date
08/09/2013
Last updated
08/09/2013
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