OrganizationActive
Bridge to Brilliance Therapy LLC
NPI 1114707700 · Early Intervention Provider Agency · Burnsville, MN
Provider details
- NPI number
- 1114707700
- Entity type
- Organization
- Primary specialty
- Early Intervention Provider AgencyAgencies
- Organization subpart
- No
- Authorized official
- Anisa Ahmed, Owner(612) 987-3455
Specialties & taxonomies
Agencies
Practice location
13740 Nicollet Ave
Burnsville, MN 55337-4003
Phone: (612) 987-3455
Approximate (ZIP-level) locationGet directions
Mailing address
7764 Oakridge Trl
Shakopee, MN 55379-5509
Registry dates
- Enumerated
- 2023-10-02
- Last updated
- 2023-10-02
- Certified
- 2023-10-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.