FRANCIS EDMOND ST. LAURENT

KINGMAN, AZ
NPI1245480938
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: AZ  6513A)
Enumeration Date2008-09-30
Last Update Date2008-09-30
Business Address
-- FRANCIS EDMOND ST. LAURENT PTA
2505 HUALAPAI MTN RD. STE E LIFEFITREHAB
KINGMAN, AZ 86401
Phone number: 877-718-4301
Mailing Address
-- FRANCIS EDMOND ST. LAURENT PTA
16565 N LARIAT DR
DOLAN SPRINGS, AZ 86441-9714
Phone number: 802-683-9914