Individual
MARY JO BRIGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
182 SUNSET AVE NW, COKATO, MN 55321-9620
(763) 689-5385
Mailing address
18438 246TH AVE NW, BIG LAKE, MN 55309-9154
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1074
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14D28BR
BLUE CROSS BLUE SHIELD
MN
01
—
6407248
MEDICA
MN
01
—
HP45705
HEALTH PARTNERS
MN
Enumeration date
09/22/2006
Last updated
07/09/2007
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