Individual
MRS. SHEILA MAHIGAN GROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1625 RADIO DR, SUITE 220, WOODBURY, MN 55125-9407
(651) 241-3636
(651) 241-3646
Mailing address
1625 RADIO DR STE 220, WOODBURY, MN 55125-9476
(651) 241-3636
(651) 241-3646
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A558
MN
Other
Enumeration date
05/15/2008
Last updated
04/02/2020
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