Individual
DIANNE MARIE MANSFIELD
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
13986 MAPLE KNOLL WAY, MAPLE GROVE, MN 55369-4655
(763) 236-0203
(763) 236-0202
Mailing address
PO BOX 43, MR 10809, MINNEAPOLIS, MN 55440-0043
(612) 262-4813
(612) 262-4194
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4628
MN
Other
Enumeration date
04/03/2006
Last updated
07/08/2007
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