Individual
BRIANNA DAAVETTILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4801 W 81ST ST STE 103, BLOOMINGTON, MN 55437-1111
(952) 924-0199
Mailing address
4801 W 81ST ST STE 103, BLOOMINGTON, MN 55437-1111
(612) 239-2063
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A2865
—
Other
Enumeration date
05/09/2023
Last updated
05/09/2023
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