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MONICA BOSTROM L.P.T.

>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1255527842

Individual Registrant:
 MONICA  BOSTROM L.P.T.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1919 S 7TH ST  BRAINERD, MN 56401-4523 US
Tel: 218-825-0913  Fax: 218-828-1947

Contact information for business:
804 WRIGHT ST  BRAINERD, MN 56401-4441 US
Tel: 218-825-0913  Fax: 218-828-1947

Registration Information:
NPI: 1255527842
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
MN5335

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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