NPI | 1194097337 |
---|---|
Doing Business As | THE AMAZING JOURNEY |
Entity Type | Organization |
Authorized Contact | RYAN MEYER Operations Manager 218-454-4600 |
Organization Subpart ? | No |
Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: MN 8645) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MN 8993) |
225X00000X Occupational Therapist (Licence: MN 104320) | |
Enumeration Date | 2012-02-03 |
Last Update Date | 2014-04-22 |