Individual
MAREN RUSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
7131 SNOW OWL LN, LINO LAKES, MN 55014-1989
(651) 295-3214
Mailing address
7131 SNOW OWL LN, LINO LAKES, MN 55014-1989
(651) 295-3214
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
10/06/2019
Last updated
10/06/2019
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