Individual
DENISE SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5400 FRANCE AVE S, EDINA, MN 55410-2356
(952) 835-4512
Mailing address
5400 FRANCE AVE S, EDINA, MN 55410-2356
(952) 835-4512
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
11429
MN
225100000X
Physical Therapist
Primary
11429
MN
Other
Enumeration date
04/27/2017
Last updated
11/01/2022
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