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1386161552
BREANNA NICOLE ELLIS
EDINA, MN
NPI
1386161552
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MN 10887)
Enumeration Date
2017-08-28
Last Update Date
2022-10-18
Business Address
BREANNA NICOLE ELLIS PT
4010 W 65TH ST
EDINA, MN 55435-1706
Phone number: 952-456-7000
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Mailing Address
BREANNA NICOLE ELLIS PT
4200 DAHLBERG DR STE 300
GOLDEN VALLEY, MN 55422-4841
Phone number: 952-512-5600
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