Individual
BRIEN BUCKENTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 VETERANS DR, MINNEAPOLIS, MN 55417-2309
(612) 467-1421
Mailing address
5649 WENTWORTH AVE, MINNEAPOLIS, MN 55419-1814
(612) 467-1421
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
104749
MN
Other
Enumeration date
11/21/2014
Last updated
11/21/2014
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