Individual
BRIAN CHARLES REICHERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
4050 COON RAPIDS BLVD NW, MR 51680, COON RAPIDS, MN 55433-2522
(763) 236-8574
Mailing address
3639 LONGFELLOW AVE, MINNEAPOLIS, MN 55407-2921
(612) 729-7023
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
104511
MN
Other
Enumeration date
08/22/2013
Last updated
08/22/2013
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