Individual
MARIAH DOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT,DPT
Contact information
Practice address
1 VETERANS DR, MINNEAPOLIS, MN 55417-2309
(612) 313-3240
Mailing address
8414 UNDERWOOD LN N, MAPLE GROVE, MN 55369-5001
(719) 964-0742
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13083
MN
Other
Enumeration date
06/08/2023
Last updated
06/08/2023
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