| NPI | 1245760610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY T MORRISON Owner 612-300-2039 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2017-06-18 |
| Last Update Date | 2025-03-24 |