| NPI | 1891998035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAYE M BAUMGARDNER Owner/Speech Pathologist 763-595-0812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| 225XP0200X Occupational Therapist, Pediatrics | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2021-01-29 |