Individual
MRS. DEBORA ANN OSTLUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
7505 COUNTRY CLUB DR, GOLDEN VALLEY, MN 55427-4501
(763) 545-0416
(763) 545-2016
Mailing address
10405 45TH AVE N APT 124, PLYMOUTH, MN 55442-3400
(952) 457-8675
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
NA
—
Other
Enumeration date
03/13/2008
Last updated
03/13/2008
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