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Individual

MIRIAM JEAN KING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
7505 COUNTRY CLUB DR, GOLDEN VALLEY, MN 55427-4501
(763) 450-6900
Mailing address
11001 BREN RD E UNIT 424, MINNETONKA, MN 55343-4442
(952) 237-2362

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A1123
MN

Other

Enumeration date
02/27/2023
Last updated
02/27/2023
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