Individual
ANGELA J BROUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4677
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
48Q93BR
BCBS MINNESOTA
MN
01
—
6414695
MEDICA
—
01
—
HP43206
HEALTH PARTNERS
—
Enumeration date
05/03/2006
Last updated
07/13/2026
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