Individual
MS. BONNIE-JO WALBRUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
401 PHALEN BLVD, MAIL STOP 41101D, SAINT PAUL, MN 55101-5302
(651) 254-7742
Mailing address
1757 PORTLAND AVE, SAINT PAUL, MN 55104-6058
(651) 647-9005
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
101265
MN
Other
Enumeration date
02/22/2007
Last updated
07/08/2007
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