Individual
ANGELA MARISSA O'NEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
14300 NICOLLET CT STE 335, BURNSVILLE, MN 55306-8330
(952) 851-6000
(952) 851-6019
Mailing address
14300 NICOLLET CT STE 335, BURNSVILLE, MN 55306-8330
(952) 851-6000
(952) 851-6019
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
7218
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00175291
RAILROAD MEDICARE
MN
Enumeration date
03/16/2006
Last updated
07/29/2015
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