| NPI | 1326406570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANTE FAUSKEE Clinic Manager 612-524-9237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225XM0800X Occupational Therapist, Mental Health |
| 225XN1300X Occupational Therapist, Neurorehabilitation | |
| 225XP0019X Occupational Therapist, Physical Rehabilitation | |
| Enumeration Date | 2016-02-03 |
| Last Update Date | 2016-08-20 |