| NPI | 1366237794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE BRELLENTHIN Speech Language Pathologist 952-381-7410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2025-04-14 |
| Last Update Date | 2025-04-14 |