Provider Demographics
NPI:1427051838
Name:FINKEL, JOANN MAE (PT)
Entity type:Individual
Prefix:MRS
First Name:JOANN
Middle Name:MAE
Last Name:FINKEL
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MISS
Other - First Name:JOANN
Other - Middle Name:MAE
Other - Last Name:OPDAHL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:14655 GALAXIE AVE STE 160
Mailing Address - Street 2:
Mailing Address - City:APPLE VALLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55124-8602
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:612-863-8942
Practice Address - Street 1:14655 GALAXIE AVE
Practice Address - Street 2:STE 160
Practice Address - City:APPLE VALLEY
Practice Address - State:MN
Practice Address - Zip Code:55124-8575
Practice Address - Country:US
Practice Address - Phone:651-241-3880
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-05-31
Last Update Date:2020-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN4627225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist