Individual
MALLORY ANN CHASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
14451 GRAND AVE, BURNSVILLE, MN 55306-5708
(952) 993-5900
Mailing address
14451 GRAND AVE, BURNSVILLE, MN 55306-5708
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12196
MN
Other
Enumeration date
06/08/2021
Last updated
07/31/2025
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