LUKAS WAVRA

ALEXANDRIA, MN
NPI1790143980
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: MN  104542)
Enumeration Date2016-02-03
Last Update Date2016-02-03
Business Address
Mr. LUKAS WAVRA MOTR/L
1020 LARK ST
ALEXANDRIA, MN 56308-2219
Phone number: 320-759-5062
Mailing Address
Mr. LUKAS WAVRA MOTR/L
1109 LARK ST APT 104
ALEXANDRIA, MN 56308-2332
Phone number: 218-686-3426