Individual
MS. JENNIFER J MASTRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4415 W 36 1/2 ST, ST LOUIS PARK, MN 55416-4854
(952) 927-9717
(925) 927-7687
Mailing address
4415 W 36 1/2 ST, ST LOUIS PARK, MN 55416-4854
(952) 927-9717
(925) 927-7687
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
192A
MN
Other
Enumeration date
10/25/2011
Last updated
10/25/2011
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