Individual
JACOB PAUST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3028 CAVELL AVE N, NEW HOPE, MN 55427-2423
(224) 639-0544
Mailing address
3028 CAVELL AVE N, NEW HOPE, MN 55427-2423
(224) 639-0544
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12240
MN
Other
Enumeration date
07/09/2021
Last updated
07/09/2021
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