Individual
JASON WILLIAM BRODINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.P.T.
Contact information
Practice address
3835 SUPREME CT NW STE 2, BEMIDJI, MN 56601
(218) 444-8280
Mailing address
3835 SUPREME CT NW STE 2, BEMIDJI, MN 56601-4485
(218) 444-8280
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6604
MN
Other
Enumeration date
05/31/2009
Last updated
09/25/2018
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