Individual
MR. EDMUNDO GARZA IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1710 SUBURBAN AVE, SAINT PAUL, MN 55106-6636
(651) 254-3200
Mailing address
1710 SUBURBAN AVE, SAINT PAUL, MN 55106-6636
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A1802
MN
Other
Enumeration date
03/15/2016
Last updated
03/15/2016
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