Individual
STEFAN MORALES BRUVELIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1875 19TH ST NW, ROCHESTER, MN 55901-1633
(507) 282-9449
Mailing address
1507 CENTER ST W, ROCHESTER, MN 55902-0336
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A2436
MN
Other
Enumeration date
12/08/2021
Last updated
12/08/2021
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