MRS. Luann Joyce Charboneau, PT

NPI #1528212586 in Moose Lake, Minnesota

Provider Information

NPI Number: 1528212586
Entity Type: Individual
Name: MRS. Luann Joyce Charboneau, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Nov 4, 2008
Last Updated: Nov 4, 2008

Practice Location

Address: 710 S KENWOOD AVE
City: Moose Lake
State: Minnesota
ZIP Code: 55767-9405
Phone: (218) 485-5627

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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