JOSEPH K WAVRA

WHITE BEAR LAKE, MN
NPI1467540583
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MN  7351)
Enumeration Date2006-10-11
Last Update Date2010-04-23
Business Address
-- JOSEPH K WAVRA PT
4465 WHITE BEAR PKWY
WHITE BEAR LAKE, MN 55110-7623
Phone number: 651-653-1350
Mailing Address
-- JOSEPH K WAVRA PT
7541 9TH ST N
OAKDALE, MN 55128-6626
Phone number: 651-748-4338