Individual
BRYN ELIZABETH WASSERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA OTRL
Contact information
Practice address
3001 HARBOR LANE NORTH, SUITE 120, PLYMOUTH, MN 55447
(651) 773-0354
(651) 773-0371
Mailing address
14401 IODINE ST NW, UNIT 21, RAMSEY, MN 55303-4729
(612) 423-6075
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
102823
MN
Other
Enumeration date
02/15/2007
Last updated
10/25/2019
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