| NPI | 1083750392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN FRANCIS MCMANUS Co Owner 651-769-7151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MN 7565) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2022-07-21 |