Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Lara O Stanislaw, PT

Individual provider Physical Therapist · NPI 1457792855

MS. Lara O Stanislaw, PT is a Physical Therapist in Roseville, Minnesota. Licensed in Minnesota. Registered with an NPI since 2013.

Licensed in
MN
In the registry since
2013
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

2151 Hamline Ave N Ste #111
Roseville, MN 55113-4236
Phone: (651) 636-5560
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 8906 (MN)

Record details

NPI number1457792855
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedJuly 13, 2013
Last updated in NPPESJuly 13, 2013

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