Individual
BRIDGET PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3815 W BROADWAY AVE, ROBBINSDALE, MN 55422-2207
(612) 332-4262
Mailing address
4733 EWING AVE S, MINNEAPOLIS, MN 55410-1747
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
102773
MN
Other
Enumeration date
09/19/2013
Last updated
09/19/2013
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