Individual
MS. CARLY JEAN INCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
301 HIGHWAY 65 S, MORA, MN 55051-1899
(320) 225-3356
(320) 225-3370
Mailing address
301 HIGHWAY 65 S, MORA, MN 55051-1899
(320) 225-3356
(320) 225-3370
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
12493
MN
Other
Enumeration date
11/04/2021
Last updated
11/04/2021
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