Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251G0304X | Physical Therapist - Geriatrics | 8811 | MN |
NPI | 1245596196 |
---|---|
Provider Name | Mrs. Meghan Alyssa Klein |
First Address | Minnetonka, MN 55305-1543 |
Second Address | Waconia, MN 55387-4515 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2012 |
Last Update Date | 02/04/2018 |