Individual
JEREMY BRUNNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
445 GALTIER ST, SAINT PAUL, MN 55103-2358
(651) 224-1848
Mailing address
1219 10TH ST NW APT 105, NEW BRIGHTON, MN 55112-6787
(651) 353-8828
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2480
MN
Other
Enumeration date
07/13/2023
Last updated
07/13/2023
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