| NPI | 1760149439 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABBEY MARIE ROLF Owner 320-492-9356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XL0004X Occupational Therapist, Low Vision |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2021-11-17 |
| Last Update Date | 2023-11-13 |