Individual
KAREN BRISKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1053 KETTLE CREEK RD, EAGAN, MN 55123-1519
(651) 470-9425
Mailing address
1053 KETTLE CREEK RD, EAGAN, MN 55123-1519
(651) 470-9425
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
201361
MN
Other
Enumeration date
08/29/2014
Last updated
08/29/2014
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