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1114707700
BRIDGE TO BRILLIANCE THERAPY LLC
BURNSVILLE, MN
NPI
1114707700
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Entity Type
Organization
Authorized Contact
ANISA MOHAMED AHMED
Owner
612-987-3455
Organization Subpart ?
No
Primary Taxonomy
252Y00000X Early Intervention Provider Agency
Enumeration Date
2023-10-02
Last Update Date
2023-10-02
Business Address
BRIDGE TO BRILLIANCE THERAPY LLC
13740 NICOLLET AVE
BURNSVILLE, MN 55337-4003
Phone number: 612-987-3455
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Mailing Address
BRIDGE TO BRILLIANCE THERAPY LLC
7764 OAKRIDGE TRL
SHAKOPEE, MN 55379-5509
Phone number: 612-987-3455
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