Individual
MR. BRIAN M OMMEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7872 CENTURY BLVD, CHANHASSEN, MN 55317-8005
(952) 448-9081
(952) 448-9088
Mailing address
7872 CENTURY BLVD, CHANHASSEN, MN 55317
(952) 448-9081
(952) 448-9088
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8474
MN
Other
Enumeration date
07/01/2009
Last updated
07/14/2011
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