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Individual

BRENNA JEAN TRAINER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
12268 ZEALAND CIR N, PHOENIX, MN 55316
(612) 619-1629
Mailing address
12268 ZEALAND CIR N, CHAMPLIN, MN 55316-1951
(612) 619-1629

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
104686
MN

Other

Enumeration date
08/29/2019
Last updated
10/07/2025
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