Individual
JILL MARIE KOERBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
15800 95TH AVE N, MAPLE GROVE, MN 55369-4400
(952) 993-1430
Mailing address
6465 WAYZATA BLVD, STE 315, ST LOUIS PARK, MN 55426-1728
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
5088
WI
225100000X
Physical Therapist
Primary
5796
MN
Other
Enumeration date
09/21/2006
Last updated
07/08/2007
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