Individual
LAURA LEA JAEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2495 MAPLEWOOD DR STE 313, MAPLEWOOD, MN 55109-1985
(651) 770-8884
Mailing address
929 RUSSELL ST APT 2, SAINT PAUL, MN 55106-3872
(651) 769-4509
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11642
MN
Other
Enumeration date
11/22/2019
Last updated
11/22/2019
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