Individual
MS. DANIELLE KATHLEEN JWANOUSKOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
4050 COON RAPIDS BLVD NW, MINNEAPOLIS, MN 55433-2522
(763) 236-9812
Mailing address
15382 FREEDOM DR N, HUG, MN 55038
(651) 216-2968
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
04/28/2011
Last updated
04/28/2011
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