Individual
BRENDA HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6545 FRANCE AVE S, SUITE 105, EDINA, MN 55435-2131
(952) 942-5676
Mailing address
6545 FRANCE AVE S, SUITE 501, EDINA, MN 55435-2131
(952) 942-5676
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4082
MN
Other
Enumeration date
02/14/2014
Last updated
03/03/2014
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