| NPI | 1841436391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE RAE SKOKAN Speech Language Pathologist/CEO 651-554-9940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MN 7330) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: MN 201297) |
| 225X00000X Occupational Therapist (Licence: MN 103324) | |
| 235Z00000X Speech-Language Pathologist, (Licence: MN 8227) | |
| 235Z00000X Speech-Language Pathologist, (Licence: MN 8332) | |
| Enumeration Date | 2009-01-05 |
| Last Update Date | 2009-01-05 |