| NPI | 1306602248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY BRYNELSEN Speech Language Pathologist 651-269-5055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2024-02-27 |
| Last Update Date | 2024-02-27 |