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1194022723
TIMOTHY BRENNER
EDINA, MN
NPI
1194022723
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MN 4622)
Enumeration Date
2011-02-17
Last Update Date
2011-02-17
Business Address
-- TIMOTHY BRENNER PT
4104 W 62ND ST
EDINA, MN 55424-1902
Phone number: 612-386-1809
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Mailing Address
-- TIMOTHY BRENNER PT
4104 W 62ND ST
EDINA, MN 55424-1902
Phone number:
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