| NPI | 1235772104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATTI KRONK Director 763-325-9150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 103TS0200X Psychologist, School |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| 251300000X Local Education Agency (LEA) | |
| Enumeration Date | 2019-10-23 |
| Last Update Date | 2019-10-23 |