MS. Lara O Stanislaw, P.T.

NPI #1457792855 in Roseville, Minnesota

Provider Information

NPI Number: 1457792855
Entity Type: Individual
Name: MS. Lara O Stanislaw, P.T.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: P.T.
Enumeration Date: Jul 13, 2013
Last Updated: Jul 13, 2013

Practice Location

Address: 2151 HAMLINE AVE N
Address 2: SUITE #111
City: Roseville
State: Minnesota
ZIP Code: 55113-4236
Phone: (651) 636-5560

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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