Individual
MS. KATHERINE MAZAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2800 RICE ST STE 159, LITTLE CANADA, MN 55113-2277
(651) 330-2286
Mailing address
2443 LARPENTEUR AVE W, SAINT PAUL, MN 55113-5234
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10822
MN
225700000X
Massage Therapist
227017598
IL
Other
Enumeration date
05/04/2017
Last updated
03/18/2019
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