Individual
ELLEN GRACE BRUESCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
14451 GRAND AVE, BURNSVILLE, MN 55306-5708
(952) 993-5900
Mailing address
8501 HALE AVE S, COTTAGE GROVE, MN 55016-4811
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
106362
MN
Other
Enumeration date
10/29/2020
Last updated
10/19/2022
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