| NPI | 1235285966 |
|---|---|
| Doing Business As | SORA PEDIATRIC THERAPY |
| Entity Type | Organization |
| Authorized Contact | MELISSA SUE LONSKY Chief Executive Officer 612-817-0306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MN 7012) |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 261QP2000X Clinic/Center, Physical Therapy | |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2019-01-07 |