Individual
BRIANNA MARIE BOSMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
8100 NORTHLAND DR, BLOOMINGTON, MN 55431-4800
(952) 831-8742
Mailing address
5551 SHORE TRL NE, PRIOR LAKE, MN 55372-1275
(612) 716-9997
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10653
MN
Other
Enumeration date
06/13/2017
Last updated
05/28/2019
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