| NPI | 1114307634 |
|---|---|
| Former Name | BRIANNA RENEE TEIGEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 104891) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WI 5713-26) |
| Enumeration Date | 2015-06-01 |
| Last Update Date | 2018-11-13 |