Individual
MARCI LYNN PETTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
11800 XEON BLVD NW, COON RAPIDS, MN 55448-2061
(763) 489-3638
(763) 647-3885
Mailing address
1939 MINNEHAHA AVE W STE 300, SAINT PAUL, MN 55104-1033
(651) 748-4338
(651) 748-2892
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5204
MN
Other
Enumeration date
03/18/2022
Last updated
09/12/2023
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