Individual
JANISE BADER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
10721 SMETANA RD, MINNETONKA, MN 55343-8082
(952) 936-9215
Mailing address
8140 PENNSYLVANIA RD, BLOOMINGTON, MN 55438-1137
(952) 944-8954
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1608
MN
Other
Enumeration date
12/27/2005
Last updated
07/08/2007
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