| NPI | 1528630647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TESSA BALSIGER Speech Language Pathologist 612-643-1659 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2021-07-16 |
| Last Update Date | 2021-07-16 |