| NPI | 1811077977 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY KELLY DANIELSON KRIPPNER President 320-420-4080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 102487) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MN 379363) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2022-09-01 |