Individual
MS. MARTHA E MANTHIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
ONE VETERANS DRIVE, 127A MINNEAPOLIS VA MEDICAL CENTER, MINNEAPOLIS, MN 55417-2309
(612) 467-3591
(612) 727-5693
Mailing address
ONE VETERANS DRIVE, 127A MINNEAPOLIS VA MEDICAL CENTER, MINNEAPOLIS, MN 55417-2309
(612) 467-3591
(612) 727-5693
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5526
MN
Other
Enumeration date
07/24/2008
Last updated
07/24/2008
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