Individual
MRS. SARA STUTSMAN MASSARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4660 SLATER RD, SUITE #130, EAGAN, MN 55122-4047
(651) 260-3774
(651) 688-6389
Mailing address
4540 OAK CHASE LN, EAGAN, MN 55123-2804
(651) 688-7407
(651) 688-6389
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5428
MN
Other
Enumeration date
11/29/2006
Last updated
07/08/2007
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