MR. Brian M Ommen

NPI #1417185182 in Chanhassen, Minnesota

Provider Information

NPI Number: 1417185182
Entity Type: Individual
Name: MR. Brian M Ommen
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Jul 1, 2009
Last Updated: Jul 14, 2011

Practice Location

Address: 7872 CENTURY BLVD
City: Chanhassen
State: Minnesota
ZIP Code: 55317-8005
Phone: (952) 448-9081

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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