| NPI | 1508961053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE RAE SKOKAN Speech Language Pathologist Owner 651-554-9940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MN 7974) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: MN 201297) |
| 225XP0200X Occupational Therapist, Pediatrics (Licence: MN 103226) | |
| 235Z00000X Speech-Language Pathologist, (Licence: MN 7330) | |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2025-09-11 |