NPI 1629285937

Angelina Jeanine Constable

Practitioner Orthotic Fitter Maple Grove, MN

Practice location

Address: 14500 99th Ave N, Maple Grove, MN 55369-4478
Phone: (763) 898-1361
Fax: (763) 898-1866
Mailing address: 1227 School St NW APT 204, Elk River, MN 55330-1885

Registered specialties

Orthotic Fitter Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225000000X

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Registry record

NPI: 1629285937
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 May 2007
Record last updated: 17 Jul 2008

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.