Individual
NICOLE MARISSA GIEBENHAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
9630 GROVE CIR N STE 200, MAPLE GROVE, MN 55369-3492
(763) 520-7870
(763) 520-7580
Mailing address
9630 GROVE CIR N STE 200, MAPLE GROVE, MN 55369-3492
(763) 520-7870
(763) 520-7580
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10697
MN
Other
Enumeration date
08/29/2017
Last updated
01/09/2020
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