NPI | 1598914764 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT JOHN SCHRUPP Physical Therapist/ Administrator 507-454-0000 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MN 5191) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WI 2206154) |
Enumeration Date | 2008-09-12 |
Last Update Date | 2008-09-12 |