| NPI | 1902173503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JO ANNE TIERNEY Occupational Therapist, Licensed 651-206-1034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 102635) |
| Enumeration Date | 2011-11-27 |
| Last Update Date | 2011-11-27 |