| NPI | 1689021586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA JANE MUELLER Occupational Therapist 612-250-2995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: MN 105096) |
| Enumeration Date | 2016-05-20 |
| Last Update Date | 2016-05-20 |