Individual
MARIE HUDALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
5200 FAIRVIEW BLVD, WYOMING, MN 55092-8013
(651) 982-7000
Mailing address
1606 GOOSE LAKE RD, SAINT PAUL, MN 55110-4170
(763) 458-7977
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4651
MN
Other
Enumeration date
07/12/2018
Last updated
07/12/2018
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