Individual
NIRUPAMA MADIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3815 W BROADWAY AVE, ROBBINSDALE, MN 55422-2207
(612) 332-4262
Mailing address
3815 W BROADWAY AVE, ROBBINSDALE, MN 55422-2207
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5427
MN
Other
Enumeration date
02/19/2014
Last updated
02/19/2014
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