NPI | 1932833191 |
---|---|
Entity Type | Organization |
Authorized Contact | AMY ROCHFORD Owner 952-250-2414 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist |
Additional Taxonomies | 225100000X Physical Therapist |
225X00000X Occupational Therapist | |
235Z00000X Speech-Language Pathologist, | |
Enumeration Date | 2022-07-13 |
Last Update Date | 2024-11-17 |