| NPI | 1255889846 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA OLSONOSKI Owner 952-356-6778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MT OTP-OT-LIC-3971) |
| Enumeration Date | 2016-09-13 |
| Last Update Date | 2022-12-21 |