| NPI | 1215144654 |
|---|---|
| Doing Business As | ADVANCE THERAPY |
| Entity Type | Organization |
| Authorized Contact | JENNIFER M JENSEN Owner 651-784-7007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MN 7350) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MN 8361) |
| 235Z00000X Speech-Language Pathologist, (Licence: MN 8679) | |
| 235Z00000X Speech-Language Pathologist, (Licence: MN 8826) | |
| 235Z00000X Speech-Language Pathologist, (Licence: MN 8490) | |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2018-07-02 |