Individual
BROOKE EVENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 E 28TH ST, MINNEAPOLIS, MN 55407-3723
(800) 285-5407
Mailing address
800 E 28TH ST, MINNEAPOLIS, MN 55407-3723
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
106196
MN
Other
Enumeration date
10/07/2020
Last updated
10/07/2020
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