Individual
MISS VICKI ANN BRANDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
825 1ST AVE NW, NEW BRIGHTON, MN 55112-6846
(651) 633-7875
Mailing address
825 1ST AVE NW, NEW BRIGHTON, MN 55112-6846
(651) 633-7875
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A889
MN
Other
Enumeration date
11/06/2008
Last updated
11/06/2008
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