Individual
AMANDA MARIE GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, CLT
Contact information
Practice address
201 E NICOLLET BLVD, BURNSVILLE, MN 55337-5714
(952) 892-2000
Mailing address
12525 NORWAY PT, BURNSVILLE, MN 55337-3469
(651) 428-7292
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9017
MN
Other
Enumeration date
11/13/2014
Last updated
11/13/2014
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