Joseph K Wavra, PT
NPI #1467540583 in White Bear Lake, Minnesota
Provider Information
- NPI Number
- 1467540583
- Entity Type
- Individual
- Name
- Joseph K Wavra, PT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapist
- Credential
- PT
- Enumeration Date
- Oct 11, 2006
- Last Updated
- Apr 23, 2010
Practice Location
- Address
- 4465 WHITE BEAR PKWY
- City
- White Bear Lake
- State
- Minnesota
- ZIP Code
- 55110-7623
- Phone
- (651) 653-1350
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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