| NPI | 1184084592 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY NICHOLS Chief Executive Officer 952-767-4214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
| Enumeration Date | 2016-02-26 |
| Last Update Date | 2022-08-03 |