Individual
MRS. MARY KAY ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
215 RADIO DR, WOODBURY, MN 55125-5815
(612) 596-6100
(612) 339-5954
Mailing address
P.O. BOX 209036, SHRINERS HOSPITALS FOR CHILDREN R TWIN CITIES, DALLAS, TX 75320-9036
(813) 281-8478
(813) 281-8113
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A1132
MN
Other
Enumeration date
12/29/2009
Last updated
12/17/2020
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