Individual
BROOKE BOSEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5501 FELTL RD, MINNETONKA, MN 55343-3944
(952) 746-0222
Mailing address
14301 EWING AVE S, BURNSVILLE, MN 55306-4885
(952) 746-5350
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
09/17/2018
Last updated
09/17/2018
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