Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | 4223 | MN |
NPI | 1023146636 |
---|---|
Provider Name | Maria Barton |
First Address | Apple Valley, MN 55124-6308 |
Second Address | Eagan, MN 55121-1253 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/03/2007 |
Last Update Date | 03/04/2020 |