Individual
STEPHANIE BRUGGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
4010 W 65TH ST, SUITE 105, EDINA, MN 55435-1721
(952) 285-2840
Mailing address
13750 102ND ST, COLOGNE, MN 55322-9039
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
101101
MN
Other
Enumeration date
09/10/2007
Last updated
09/10/2007
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