Individual
JULIE GLENDENNING MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
909 FULTON ST SE, MINNEAPOLIS, MN 55455
(612) 672-7422
Mailing address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8053
MN
Other
Enumeration date
04/17/2009
Last updated
06/12/2018
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