Individual
MISS AMANDA JO BRONSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M OTR-L
Contact information
Practice address
824 S SHERIDAN ST, FERGUS FALLS, MN 56537-3022
(218) 736-5441
Mailing address
714 W SUMMIT AVE, FERGUS FALLS, MN 56537-1821
(406) 861-2315
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
103491
MN
Other
Enumeration date
02/28/2007
Last updated
09/10/2007
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