Doctor Name: | MAGGIE LYNN HENJUM |
NPI Number: | 1003109943 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.P.T. |
License Number: | |
Business Practice Address: | 12324 Wayzata Blvd Minnetonka, MN - 553051919 |
Business Phone Number: | 9528354512 |
Business Fax Number: | 9525165655 |
Mailing Address: | 7815 3rd St N, Suite 203 OAKDALE |
State: | MN |
Postal Code: | 551285447 |
Phone Number: | 9528354512 |
Fax Number: | 9525165655 |
NPI Enumeration Date: | 05/25/2011 |
NPI Last Update Date: | 05/09/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |