| NPI | 1811395874 |
|---|---|
| Doing Business As | LIGHTHOUSE CENTER FOR VISION LOSS |
| Entity Type | Organization |
| Authorized Contact | MARY SKINNER JUNNILA Executive Director 218-624-4828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XL0004X Occupational Therapist, Low Vision |
| Enumeration Date | 2014-12-08 |
| Last Update Date | 2023-11-03 |