Bst Marshall LLC

NPI #1104987494 in Marshall, Minnesota

Provider Information

NPI Number
1104987494
Entity Type
Organization
Organization Name
Bst Marshall LLC
Primary Specialty
Physical Therapist
Enumeration Date
Dec 12, 2006
Last Updated
Mar 12, 2009

Practice Location

Address
1420 E COLLEGE DR
Address 2
SUITE 704
ZIP Code
56258-2075
Phone
(507) 532-3393

Authorized Official

Name
WADE D VANDOVER, PT
Title
PRESIDENT
Phone
(320) 839-4152

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant
Physical Therapy Assistant
Occupational Therapist
Speech-Language Pathologist
Physical Therapist

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