DIANE MAXINE CLARK

MINNETONKA, MN
NPI1306941166
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MN  1425)
Enumeration Date2006-09-14
Last Update Date2007-07-08
Business Address
-- DIANE MAXINE CLARK PT
13560 WAYZATA BLVD
MINNETONKA, MN 55305-1850
Phone number: 952-525-1883
Mailing Address
-- DIANE MAXINE CLARK PT
5760 ROSEWOOD LN N
PLYMOUTH, MN 55442-1411
Phone number: