JESSE BAUERNHUBER

ROBBINSDALE, MN
NPI1215573654
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MN  A2434)
Enumeration Date2019-11-20
Last Update Date2019-11-20
Business Address
JESSE BAUERNHUBER PTA
3815 W BROADWAY AVE
ROBBINSDALE, MN 55422-2207
Phone number: 612-332-4262
Mailing Address
JESSE BAUERNHUBER PTA
4554 CEDAR LAKE RD S APT 6
ST LOUIS PARK, MN 55416-3755
Phone number: 920-379-0527