Individual
AMANDA MARIE DORNHECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
927 TRETTEL LN, CLOQUET, MN 55720-1345
(218) 879-1227
Mailing address
927 TRETTEL LN, CLOQUET, MN 55720-1345
(218) 879-1227
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12373
MN
Other
Enumeration date
08/27/2021
Last updated
04/04/2024
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