| NPI | 1003109943 |
|---|---|
| Former Name | MAGGIE LYNN HENJUM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 8777) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2011-05-25 |
| Last Update Date | 2021-06-21 |