Individual
MARY GORELCZENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 E 28TH ST, SUITE 2704, MINNEAPOLIS, MN 55407-3723
(612) 863-9966
Mailing address
800 E 28TH ST, SUITE 2704, MINNEAPOLIS, MN 55407-3723
(612) 863-9966
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A1921
MN
Other
Enumeration date
01/26/2017
Last updated
01/26/2017
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