Individual
CHARLOTTE BRENTESON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1520 THOMAS LAKE POINTE RD, #104, EAGAN, MN 55122-2566
(763) 482-2694
Mailing address
1520 THOMAS LAKE POINTE RD, #104, EAGAN, MN 55122-2566
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/21/2016
Last updated
09/21/2016
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