Individual
JULIA ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3165 FERNBROOK LN N, PLYMOUTH, MN 55447-5320
(763) 710-4637
Mailing address
1037 PIKE LAKE DR, NEW BRIGHTON, MN 55112-2461
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12080
MN
Other
Enumeration date
02/19/2021
Last updated
02/19/2021
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