Individual
BHAIRAVI MAHANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
435 PHALEN BLVD, SAINT PAUL, MN 55130-5302
(651) 254-3200
Mailing address
8192 GALWAY RD, WOODBURY, MN 55125-2397
(651) 739-8108
(651) 254-0910
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4816
MN
Other
Enumeration date
02/12/2007
Last updated
07/21/2022
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