Individual
COURTNEY TANAKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
8100 W 78TH ST, EDINA, MN 55439-2516
(952) 914-8060
Mailing address
8100 W 78TH ST, EDINA, MN 55439-2516
(952) 914-8060
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9003
MN
Other
Enumeration date
06/04/2012
Last updated
04/02/2020
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