Individual
MARIA WALDE-DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6701 COUNTRY CLUB DR, GOLDEN VALLEY, MN 55427-4602
(952) 993-5495
Mailing address
6465 WAYZATA BLVD, STE 210, ST LOUIS PARK, MN 55426-1728
(952) 993-7340
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4551
MN
Other
Enumeration date
12/21/2009
Last updated
12/21/2009
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