Individual
EMILY JANE GORACKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
200 UNIVERSITY AVE E, SAINT PAUL, MN 55101-2507
(651) 229-3917
Mailing address
739 CAMBERWELL DR, EAGAN, MN 55123-3925
(651) 895-0801
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10465
MN
Other
Enumeration date
06/05/2018
Last updated
06/05/2018
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