Individual
BETHANY L BRUESEHOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3130 GRIMES AVE N, ROBBINSDALE, MN 55422-3217
(763) 450-2737
Mailing address
1737 168TH CIR NE, ANDOVER, MN 55304-5418
(763) 413-3172
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
200575
MN
Other
Enumeration date
05/09/2013
Last updated
05/09/2013
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