| NPI | 1881013068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY WHITE Office Manager 651-994-9644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2014-04-15 |