Individual
STEVEN LOUIS BULTENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1738 HULETT AVE, FARIBAULT, MN 55021
(763) 442-3632
Mailing address
38489 COUNTY 8 BLVD, GOODHUE, MN 55027-5043
(763) 442-3632
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
—
—
Other
Enumeration date
11/18/2022
Last updated
11/18/2022
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