Individual
MARA ANN BOONSTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
15111 TWELVE OAKS CENTER DR, MINNETONKA, MN 55305-5201
(952) 993-5900
Mailing address
710 WESTON RIDGE PKWY, CHASKA, MN 55318-1202
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14234
MN
Other
Enumeration date
02/11/2026
Last updated
02/11/2026
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