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Individual

ANGELA MARIE BRODZELLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
800 E 28TH ST, SUITE 2771, MINNEAPOLIS, MN 55407-3723
(612) 863-6173
Mailing address
5306 BLOOMINGTON AVE, MINNEAPOLIS, MN 55417-1822
(608) 385-4355

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
104002
MN

Other

Enumeration date
01/16/2011
Last updated
01/16/2011
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