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Individual

ANNA LEA BROMELAND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
530 MCDEVITT ST, SHAKOPEE, MN 55379-2248
(612) 385-1896
Mailing address
530 MCDEVITT ST, SHAKOPEE, MN 55379-2248
(612) 385-1896

Taxonomy

Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
103344
MN

Other

Enumeration date
08/12/2013
Last updated
08/12/2013
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