Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | 5337 | MN |
N | 2251G0304X | Physical Therapist - Geriatrics | 5337 | MN |
NPI | 1336250257 |
---|---|
Provider Name | Mrs. Lori Lynn Danzl |
First Address | Minneapolis, MN 55417-2309 |
Second Address | Minneapolis, MN 55417-2309 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
5337 | PHYSICAL THERAPIST (01) | MN |