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Individual

AMANDA BRESNAHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
FAMILY ACHIEVEMENT CENTER, 2101 WOODDALE DR, STE A, WOODBURY, MN 55125
(651) 738-9888
(651) 738-9889
Mailing address
FAMILY ACHIEVEMENT CENTER, 2101 WOODDALE DR, STE A, WOODBURY, MN 55125
(651) 738-9888
(651) 738-9889

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
201822
MN
225X00000X
Occupational Therapist
Primary
106741
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
H100206610
MN
Enumeration date
01/10/2013
Last updated
10/06/2022
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