Individual
AMY J PROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4801 W 81ST ST STE 103, BLOOMINGTON, MN 55437-1111
(952) 924-0199
Mailing address
4801 W 81ST ST STE 103, BLOOMINGTON, MN 55437-1111
(952) 924-0199
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6146
MN
Other
Enumeration date
09/16/2006
Last updated
05/15/2026
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