| NPI | 1689305740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE URBAN Owner/Speech Language Pathologist 952-500-8871 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2022-06-20 |
| Last Update Date | 2024-07-25 |