Individual
MS. MARY SUSAN KOWALSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA,CLT
Contact information
Practice address
333 SMITH AVE N, SAINT PAUL, MN 55102-2344
(651) 241-7288
(651) 241-7177
Mailing address
27 ROUND LAKE TRL, LITTLE CANADA, MN 55117-6014
(651) 484-8480
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
JULY 2008
MN
Other
Enumeration date
04/15/2008
Last updated
04/15/2008
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