SHANNON MARIE BROSTAD

DES MOINES, IA
NPI1477608917
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IA  03523)
Enumeration Date2007-01-24
Last Update Date2007-07-08
Business Address
-- SHANNON MARIE BROSTAD PT
1801 HICKMAN RD
DES MOINES, IA 50314-1548
Phone number: 515-282-5621
Mailing Address
-- SHANNON MARIE BROSTAD PT
4015 FAGEN DR
DES MOINES, IA 50310-4047
Phone number: 515-276-6676