Individual
MADISON BEVERLY PEITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
14000 FAIRVIEW DR, BURNSVILLE, MN 55337-4571
(952) 993-8700
Mailing address
1754 STERLING RD, WACONIA, MN 55387-1541
(952) 442-2209
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11470
MN
Other
Enumeration date
08/28/2019
Last updated
08/28/2019
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