Individual
MRS. JENNIFER H BROSSART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2975 HIGHWAY 2E, RUGBY, ND 58368
(701) 776-5261
(701) 776-5448
Mailing address
2975 HIGHWAY 2E, RUGBY, ND 58368
(701) 776-5261
(701) 776-5448
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1266
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
54539
—
ND
Enumeration date
10/05/2011
Last updated
11/06/2024
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