Individual
JENNIFER GAYNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
7550 34TH AVE S, MINNEAPOLIS, MN 55450-1124
(612) 727-1167
Mailing address
7550 34TH AVE S, MINNEAPOLIS, MN 55450-1124
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13245-24
WI
Other
Enumeration date
09/28/2015
Last updated
09/28/2015
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