Bryn Elizabeth Wasserman
Occupational Therapist - Pediatrics
3001 Harbor Lane North Suite 120
Plymouth
, Minnesota 55447
Bryn Elizabeth Wasserman
Occupational Therapist - Pediatrics
3001 Harbor Lane North Suite 120
Plymouth
, Minnesota 55447
(612) 423-6075
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About
Features
Specialties
- Occupational Therapist - Pediatrics
Languages spoken
- English
Location
First Address
- Bryn Elizabeth Wasserman
- 14401 Iodine St Nw Unit 21
- Ramsey, MN
- Zip : 55303-4729
- Phone : (612) 423-6075
Second Address
- Bryn Elizabeth Wasserman
- 3001 Harbor Lane North Suite 120
- Plymouth, MN
- Zip : 55447
- Fax : (651) 773-0371
- Phone : (651) 773-0354
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XP0200X | Occupational Therapist - Pediatrics | 102823 | MN |
National Provider Identifier
| NPI | 1063555373 |
|---|---|
| Provider Name | Bryn Elizabeth Wasserman |
| First Address | Ramsey, MN 55303-4729 |
| Second Address | Plymouth, MN 55447 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/02/2007 |
| Last Update Date | 25/10/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.