Individual
JASON JAMES STENSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
738 COUNTRY LAKES DR, LINO LAKES, MN 55014-5488
(901) 581-1692
Mailing address
738 COUNTRY LAKES DR, LINO LAKES, MN 55014-5488
(901) 581-1692
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A2129
MN
Other
Enumeration date
04/29/2018
Last updated
04/29/2018
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