Individual
ANGELA MARIE STOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
6363 FRANCE AVE S, SUITE 404, EDINA, MN 55435-2129
(952) 927-4525
(952) 927-7554
Mailing address
6465 WAYZATA BLVD, SUITE 900, ST LOUIS PARK, MN 55426-1728
(952) 512-5600
(952) 512-5650
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6730
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
261P0ST
BLUECROSS BLUESHIELD
—
01
—
6405865
MEDICA
—
01
—
969991030949
PREFERREDONE
—
01
—
HP55103
HEALTHPARTNERS
—
Enumeration date
08/23/2006
Last updated
07/11/2007
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