Individual ProviderMelinda Marie FjosnePhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address9630 Grove Cir N Ste 200, Maple Grove, MN 55369-3492(763) 520-7870(952) 512-5600PECOS EnrollmentBased on the most recent information from CMS, provider Melinda Marie Fjosne does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1952785297Provider TypeIndividualFull NameFjosne, Melinda MarieCredentialPT, DPTGenderFemaleSole ProprietorNoEnumeration Date7/16/2015Last Updated6/22/2022Contact InformationPractice LocationPractice Address9630 Grove Cir N Ste 200, Maple Grove, MN 55369-3492Phone(763) 520-7870Fax(763) 520-7580Mailing LocationMailing Address4200 Dahlberg Dr Ste 300, Golden Valley, MN 55422-4841Phone(952) 512-5600FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense9881MinnesotaCode225100000XDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense60230865Washington