Individual
MS. NOU VANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3401 E MEDICINE LAKE BLVD, PLYMOUTH, MN 55441-2307
(763) 559-3123
Mailing address
1415 JESSAMINE AVE W APT 205, SAINT PAUL, MN 55108-2634
(715) 450-5293
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11217
MN
Other
Enumeration date
07/19/2018
Last updated
07/19/2018
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