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1174213771
BRIANNA DAAVETTILA
BLOOMINGTON, MN
NPI
1174213771
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: A2865)
Enumeration Date
2023-05-09
Last Update Date
2023-05-09
Business Address
BRIANNA DAAVETTILA PTA
4801 W 81ST ST STE 103
BLOOMINGTON, MN 55437-1111
Phone number: 952-924-0199
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Mailing Address
BRIANNA DAAVETTILA PTA
4801 W 81ST ST STE 103
BLOOMINGTON, MN 55437-1111
Phone number: 612-239-2063
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