Individual
MRS. BRIDGID JANE MARZEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1390 UNIVERSITY AVE W, SAINT PAUL, MN 55104-4001
(651) 232-5412
Mailing address
10017 PORTLAND AVE S, BLOOMINGTON, MN 55420-5048
(952) 884-0787
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A208
MN
Other
Enumeration date
11/08/2012
Last updated
11/08/2012
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