Individual
MARY JO HEBERLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
410 LUELLA ST, WATKINS, MN 55389-1012
(320) 765-2300
Mailing address
410 LUELLA ST, WATKINS, MN 55389-1012
(320) 764-2300
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A1045
MN
225100000X
Physical Therapist
A1045
MN
Other
Enumeration date
01/31/2020
Last updated
01/31/2020
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