Individual
BRIAN MALDONADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1091 16TH AVE SE APT 1, MINNEAPOLIS, MN 55414-2411
(612) 378-3022
Mailing address
1091 16TH AVE SE APT 1, MINNEAPOLIS, MN 55414-2411
(612) 378-3022
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6593
MN
Other
Enumeration date
03/22/2017
Last updated
03/22/2017
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