SHAUN DOUGLASS

ST LOUIS PARK, MN
NPI1265113450
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MN  A1923)
Enumeration Date2023-07-31
Last Update Date2023-07-31
Business Address
SHAUN DOUGLASS PTA
7500 W 22ND ST
ST LOUIS PARK, MN 55426-2602
Phone number: 952-641-9200
Mailing Address
SHAUN DOUGLASS PTA
6145 MACLYNN AVE NE
OTSEGO, MN 55301-4589
Phone number: 763-213-5505
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