| NPI | 1972249274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY PATRICIA RODENBERG-ROBERTS VP& Sr Asst General Counsel 952-836-2234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225100000X Physical Therapist |
| 261QH0700X Clinic/Center, Hearing and Speech | |
| 225XP0200X Occupational Therapist, Pediatrics | |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| 261QP2000X Clinic/Center, Physical Therapy | |
| 224ZF0002X Occupational Therapy Assistant, Feeding, Eating & Swallowing | |
| Enumeration Date | 2022-05-10 |
| Last Update Date | 2026-06-06 |