BRADLEY DAVID VAN TASSEL

SAINT PAUL, MN
NPI1326470949
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: AZ  9158A)
Enumeration Date2013-08-06
Last Update Date2013-08-06
Business Address
-- BRADLEY DAVID VAN TASSEL
445 GALTIER ST
SAINT PAUL, MN 55103-2358
Phone number: 651-224-1848
Mailing Address
-- BRADLEY DAVID VAN TASSEL
15378 FOSTER DR N
HUGO, MN 55038-8544
Phone number:
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