NPI 1184297194

Marie Irvine, PTA

Practitioner Physical Medicine & Rehabilitation Physician Plymouth, MN

Practice location

Address: 3390 Annapolis Ln N STE B, Plymouth, MN 55447-5379
Phone: (763) 767-0854
Mailing address: 10540 43rd Ave N APT 201, Minneapolis, MN 55442-2846

Registered specialties

Physical Medicine & Rehabilitation Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence A1573 (MN)

Other Physical Medicine & Rehabilitation providers in Minnesota →

Registry record

NPI: 1184297194
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Jul 2021
Record last updated: 19 Jul 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.