Individual
N EVITA NORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, MS
Contact information
Practice address
11144 HILLSBORO AVE N, CHAMPLIN, MN 55316-3128
(763) 712-4930
Mailing address
11144 HILLSBORO AVE N, CHAMPLIN, MN 55316-3128
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6494
MN
225100000X
Physical Therapist
PT010166L
PA
Other
Enumeration date
04/07/2007
Last updated
07/08/2007
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