Individual
MS. JAN MARY DAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA PT
Contact information
Practice address
1800 2ND STREET NE, A CHANCE TO GROW, MINNEAPOLIS, MN 55418
(612) 706-5537
(612) 706-5555
Mailing address
11071 DOGWOOD ST NW, COON RAPIDS, MN 55448
(763) 754-6760
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5522
MN
Other
Enumeration date
08/18/2006
Last updated
07/08/2007
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