NPI 1629354477

Jennifer J Mastro

Practitioner Physical Therapy Assistant St Louis Park, MN

Practice location

Address: 4415 W 36 1/2 St, St Louis Park, MN 55416-4854
Phone: (952) 927-9717
Fax: (925) 927-7687

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 192A (MN)

Other Physical Therapy Assistant providers in Minnesota →

Registry record

NPI: 1629354477
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Oct 2011
Record last updated: 25 Oct 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.