NPI | 1306621933 |
---|---|
Entity Type | Organization |
Authorized Contact | MARA ROGERS Speech Language Pathologist 651-746-9129 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
Enumeration Date | 2023-08-30 |
Last Update Date | 2023-08-30 |