Mardon Ellen So
NPI #1063238095 in Grand Marais, Minnesota
Provider Information
- NPI Number
- 1063238095
- Entity Type
- Individual
- Name
- Mardon Ellen So
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Nov 25, 2024
- Last Updated
- Nov 25, 2024
Practice Location
- Address
- 515 5TH AVE W
- City
- Grand Marais
- State
- Minnesota
- ZIP Code
- 55604-3017
- Phone
- (218) 387-3040
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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