Individual
LARA TRUE THAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
1408 ARCADE ST, SAINT PAUL, MN 55106-1823
(651) 771-2012
(651) 771-8747
Mailing address
1408 ARCADE ST, SAINT PAUL, MN 55106-1823
(651) 771-2012
(651) 771-8747
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
—
—
Other
Enumeration date
04/10/2008
Last updated
04/10/2008
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