Most Relevant Information
Provider Data
| NPI Number: | 1003647009 |
| Provider Name: | RILEY BREN |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 13579 |
Most Important Dates
| Enumeration Date: | 08/12/2024 |
| Last Updated: | 08/12/2024 |
Provider Practice Location
6545 FLYING CLOUD DR STE 201
EDEN PRAIRIE
MN
553443356
Practice Location Phone/Fax
| Phone: | 6123641901 |
| Fax: |
Provider Mailing Location
6545 FLYING CLOUD DR STE 201
EDEN PRAIRIE
MN
553443356
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |