| NPI | 1568699320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA MARIE PIETIG Speech Language Pathogist 612-239-0707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MN 7207) |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2009-06-18 |