Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208100000X | Physical Medicine & Rehabilitation Doctor | PTP-PT-LIC-12859 | MT |
N | 225100000X | Physical Therapist | 18704 | MA |
Y | 225100000X | Physical Therapist | 9252 | MN |
NPI | 1003047861 |
---|---|
Provider Name | Ms. Emily Joanne Helgeson |
First Address | Duluth, MN 55805-1951 |
Second Address | Hermantown, MN 55811-3615 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/07/2009 |
Last Update Date | 03/12/2021 |