Individual
BRIANNA WALVOORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
4050 COON RAPIDS BLVD NW # MR 51680, COON RAPIDS, MN 55433-2522
(763) 236-8910
Mailing address
4050 COON RAPIDS BLVD NW # MR 51680, COON RAPIDS, MN 55433-2522
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9662
MN
Other
Enumeration date
04/09/2020
Last updated
04/09/2020
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