Individual
MOLLY AXVIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
146 LAKE ST N, FOREST LAKE, MN 55025-2518
(651) 275-4706
Mailing address
7581 9TH ST N STE 100, OAKDALE, MN 55128-6635
(651) 748-4338
(651) 748-2892
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11177
MN
Other
Enumeration date
07/17/2018
Last updated
09/01/2020
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