Individual
MRS. HEIDI MARIE BROTTLUND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
640 JACKSON ST, SAINT PAUL, MN 55101-2502
(651) 254-3071
Mailing address
316 23RD AVE NE, MINNEAPOLIS, MN 55418-3443
(612) 789-0236
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
02/07/2007
Last updated
07/08/2007
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