| NPI | 1538580436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY COOPER Speech Language Pathologist 320-293-7827 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MN 9027) |
| Enumeration Date | 2013-12-18 |
| Last Update Date | 2013-12-18 |