Joan Marlayne Bazella, PT
NPI #1285859066 in Chanhassen, Minnesota
Provider Information
- NPI Number
- 1285859066
- Entity Type
- Individual
- Name
- Joan Marlayne Bazella, PT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapist
- Credential
- PT
- Enumeration Date
- Apr 16, 2007
- Last Updated
- Sep 5, 2008
Practice Location
- Address
- 480 W 78TH ST
- City
- Chanhassen
- State
- Minnesota
- ZIP Code
- 55317-4527
- Phone
- (952) 906-7880
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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