Dufault, Marialena I

Dufault, Marialena I is an individual health care provider with primary practice located at 3915 Golden Valley Rd Courage Center, Golden Valley MN 55422-4298. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Dufault, Marialena I can be contacted via phone (763) 520-0709.

Contact Information

Primary practice address
3915 Golden Valley Rd Courage Center Golden Valley MN 55422-4298
Phone: (763) 520-0709
Fax: (763) 520-0355
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 5855 Minnesota

Profile Details

NPI number 1366408114
LBN Legal business name Dufault, Marialena I
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366408114 NPPES
Other 6411176 MEDICA
Other HP43585 MEDICA
Other 48Q90MO MEDICA

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