Individual
MRS. KRISTIN AMIE BRULEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.O.T.R./L
Contact information
Practice address
323 S MINNESOTA ST, CROOKSTON, MN 56716-1601
(218) 281-9463
(218) 281-9336
Mailing address
323 S MINNESOTA ST, CROOKSTON, MN 56716-1601
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
103085
MN
225X00000X
Occupational Therapist
994
ND
Other
Enumeration date
07/25/2012
Last updated
07/25/2012
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