Individual
BREYONNA ROBERGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
2101 WOODDALE DR STE A, WOODBURY, MN 55125-2933
(651) 738-9888
Mailing address
3346 CENTURY DR, HASTINGS, MN 55033-4151
(763) 226-6661
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
107007
MN
Other
Enumeration date
11/28/2022
Last updated
11/28/2022
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