Individual
JENNA OPDAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3912 EXCELSIOR BLVD, ST LOUIS PARK, MN 55416-4709
(877) 609-0123
Mailing address
3500 AMERICAN BLVD W STE 300, BLOOMINGTON, MN 55431-4442
(952) 512-5600
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13430
MN
Other
Enumeration date
02/20/2020
Last updated
06/18/2024
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