IndividualActive
Angelina Constable
NPI 1629285937 · Orthotic Fitter · Maple Grove, MN
Provider details
- NPI number
- 1629285937
- Entity type
- Individual
- Primary specialty
- Orthotic FitterRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
Practice location
14500 99th Ave N
Maple Grove, MN 55369-4478
Phone: (763) 898-1361
Fax: (763) 898-1866
Mailing address
1227 School St Nw Apt 204
Elk River, MN 55330-1885
Registry dates
- Enumerated
- 2007-05-17
- Last updated
- 2008-07-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.