Individual
MAREN ELIZABETH MARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
155 RADIO DR, WOODBURY, MN 55125-2619
(952) 831-8742
Mailing address
155 RADIO DR, WOODBURY, MN 55125-2619
(952) 831-8742
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A2092
MN
Other
Enumeration date
01/29/2025
Last updated
01/29/2025
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