| Doctor Name: | MARIE JEAN ANDERSON |
| NPI Number: | 1871880443 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPT |
| License Number: | 8870 |
| Business Practice Address: | 3111 124th Ave Nw Suite 200 Coon Rapids, MN - 554334572 |
| Business Phone Number: | 7634277300 |
| Business Fax Number: | 7634272802 |
| Mailing Address: | 4200 Dahlberg Dr, Suite 300 GOLDEN VALLEY |
| State: | MN |
| Postal Code: | 554224840 |
| Phone Number: | 9525125600 |
| Fax Number: | 9525125651 |
| NPI Enumeration Date: | 07/05/2011 |
| NPI Last Update Date: | 09/16/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 8870 |
| 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 |