Individual
LIANE CORWITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1275 SAINT PAUL AVE, SAINT PAUL, MN 55116-2708
(608) 415-0662
Mailing address
1275 SAINT PAUL AVE, SAINT PAUL, MN 55116-2708
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9114
MN
Other
Enumeration date
08/04/2014
Last updated
08/04/2014
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