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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TARA MAE WANDER, PT

Active Sole Proprietor

TARA MAE WANDER, PT is a Physical Therapy Assistant healthcare provider located in ST LOUIS PARK, Minnesota. NPI 1851342091 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · ST LOUIS PARK, MN

Registration Details

NPI Number
1851342091
Provider Type
Individual
Gender
Female
NPI Issued
May 12, 2006 (20.213089668642 yrs)
Last Updated
Jul 8, 2007
License
5880 (MN)
Sole Proprietor
Yes

Practice Information

Address
6500 EXCELSIOR BLVD
ST LOUIS PARK, MN, 554264702
Browse MN providers · Browse ZIP 55426
Phone
9529935000
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in ST LOUIS PARK, MN

Name Credential NPI
JOHN PAUL ZAJICEK P.T. 1366418279
MRS. CHERYL L TIBESAR PT 1770595159
MRS. SUSAN C OLSON PT 1619071792
ANN MARIE PUGLIESE PT 1407951585
TRUDE M STOMMES SCHLANGEN PT 1104922665
KIRSTEN R RYAN PT 1588760060
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.