| NPI | 1871690214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYRNA A YENTER Sole Proprietor, Therapist 507-345-5281 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: MN 00599) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |