Individual
MARYSA MEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
3912 EXCELSIOR BLVD, ST LOUIS PARK, MN 55416
(877) 709-1090
(866) 221-3400
Mailing address
1769 LEXINGTON AVE N # 286, ROSEVILLE, MN 55113-6522
(952) 835-4512
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11058
MN
Other
Enumeration date
06/14/2017
Last updated
08/15/2018
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