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Individual

CATHERINE MARY BOYUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
1661 SAINT ANTHONY AVE, SAINT PAUL, MN 55104-7632
(651) 842-5335
(651) 730-3989
Mailing address
710 COMMERCE DR STE 200, WOODBURY, MN 55125-4925
(651) 968-5042
(651) 968-5904

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
5545
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00019029
RAILROAD MEDICARE
MN
Enumeration date
03/16/2006
Last updated
07/01/2015
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