MARIT BOLSTAD REVENEW

LAWRENCE, KS
NPI1780806620
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: KS  14-00600)
Enumeration Date2007-05-02
Last Update Date2007-07-08
Business Address
-- MARIT BOLSTAD REVENEW cpta,cmt
325 MAINE
LAWRENCE, KS 66044
Phone number: 785-840-2712
Mailing Address
-- MARIT BOLSTAD REVENEW cpta,cmt
3012 BAINBRIDGE CIRCLE
LAWRENCE, KS 66049
Phone number: 785-830-8641
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