| NPI | 1649394933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRISHA ROXANNE WITMER Speech & Language Pathologist 612-807-3723 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech (Licence: MN 5928) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2020-08-22 |