Individual
OLIVIA KORNGABLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1570 BEAM AVE STE 300, MAPLEWOOD, MN 55109-3142
(651) 232-5700
Mailing address
2740 FAIRVIEW AVE N UNIT 319, ROSEVILLE, MN 55113-1370
(507) 923-0797
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13936
MN
Other
Enumeration date
06/26/2025
Last updated
06/26/2025
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