LAURA BASTRON

GOLDEN VALLEY, MN
NPI1487084067
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MN  A1673)
Enumeration Date2013-11-19
Last Update Date2013-11-19
Business Address
-- LAURA BASTRON PTA
7505 COUNTRY CLUB DR
GOLDEN VALLEY, MN 55427-4501
Phone number: 763-450-6902
Mailing Address
-- LAURA BASTRON PTA
7505 COUNTRY CLUB DRIVE
GOLDEN VALLEY, MN 55427
Phone number: