Individual
VICTORIA KORBELY MAIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14451 GRAND AVE, BURNSVILLE, MN 55306-5708
(952) 993-5900
Mailing address
3574 BIRCHPOND RD, EAGAN, MN 55122-4900
(612) 499-8067
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
13647
MN
Other
Enumeration date
08/15/2024
Last updated
08/15/2024
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