Individual
SIMONE BROVEGE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
4010 W 65TH ST, SUITE 105, EDINA, MN 55435-1721
(952) 285-2840
Mailing address
306 LAKE BLVD S, BUFFALO, MN 55313-1442
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
101939
MN
Other
Enumeration date
04/20/2006
Last updated
07/08/2007
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