Individual
MARIA EYBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7107
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
497S7EY
BCBS
MN
01
—
6403745
MEDICA
MN
01
—
HP43916
HP
MN
Enumeration date
03/26/2007
Last updated
12/30/2013
Update your record
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