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Individual

ANDREA LYNN BRODINA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.P.T.

Contact information

Practice address
677 ANNE ST NW, BEMIDJI, MN 56601-4390
(218) 556-9667
Mailing address
17645 GULL LAKE LOOP RD NE, BEMIDJI, MN 56601-6920
(218) 586-3592

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6603
MN

Other

Enumeration date
06/23/2009
Last updated
06/23/2009
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