Louanna Gayle C. Marohombsar
Physical Therapist - Geriatrics
1915 N 34th St
Superior
, Wisconsin 54880-5575
Louanna Gayle C. Marohombsar
Physical Therapist - Geriatrics
1915 N 34th St
Superior
, Wisconsin 54880-5575
(952) 746-5655
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About
Features
Specialties
- Physical Therapist - Geriatrics
Languages spoken
- English
Location
First Address
- Louanna Gayle C. Marohombsar
- 10653 Wayzata Blvd Ste 200
- Minnetonka, MN
- Zip : 55305-1543
- Fax : (952) 746-5655
- Phone : (952) 224-1919
Second Address
- Louanna Gayle C. Marohombsar
- 1915 N 34th St
- Superior, WI
- Zip : 54880-5575
- Phone : (715) 399-3287
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251G0304X | Physical Therapist - Geriatrics | 13729-24 | WI |
National Provider Identifier
| NPI | 1124556535 |
|---|---|
| Provider Name | Louanna Gayle C. Marohombsar |
| First Address | Minnetonka, MN 55305-1543 |
| Second Address | Superior, WI 54880-5575 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/05/2017 |
| Last Update Date | 30/05/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.