MICHELLE MARIE PERAULT-BOUGHTON

ROBBINSDALE, MN
NPI1346357035
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MN  4137)
Enumeration Date2006-08-25
Last Update Date2007-07-08
Business Address
-- MICHELLE MARIE PERAULT-BOUGHTON PT
4080 W BROADWAY AVE #300
ROBBINSDALE, MN 55422-5604
Phone number: 763-533-0541
Mailing Address
-- MICHELLE MARIE PERAULT-BOUGHTON PT
1330 XERXES AVE N
MINNEAPOLIS, MN 55411-2848
Phone number: