Individual
DEIRDRE M DVORAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3850 PARK NICOLLET BLVD, SAINT LOUIS PARK, MN 55416-2527
(952) 993-3123
Mailing address
4501 PARK GLEN RD APT 247, SAINT LOUIS PARK, MN 55416-4874
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
MN
Other
Enumeration date
07/07/2017
Last updated
07/07/2017
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