MARIE IRVINE PTA
Individual Provider (NPI-1)
Active
Physical Medicine & Rehabilitation
Provider Information
- NPI Number
1184297194- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PTA
- Status
- Active
Contact & Location
- Address
- 3390 ANNAPOLIS LN N STE B, PLYMOUTH, MN, 554475379
- Phone
- (763) 767-0854
Specialties & Taxonomies
Physical Medicine & Rehabilitation
Primary License: MN #A1573
All Addresses
MAILING
10540 43RD AVE N APT 201
MINNEAPOLIS, MN, 554422846