Individual
JENNY BRACHA FEIGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
5050 W 36TH ST, SUITE 100, ST LOUIS PARK, MN 55416-5469
(612) 920-1092
(612) 928-0375
Mailing address
15720 NURSERY DR, MINNETONKA, MN 55345-4550
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4490
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
372M5FE
BCBS PROVIDER ID
MN
Enumeration date
10/17/2006
Last updated
07/08/2007
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