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Organization
MIDNIGHT AND MOONLIGHT LLC
Active
Organization
MIDNIGHT AND MOONLIGHT LLC
Active
Other names
Nature Kids Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
ADRIENNE M ERO-PHILLIPS MAOT, OTR/L (OCCUPATIONAL THERAPIST)
(320) 266-4304
Entity
Organization
Contact information
Practice address
3441 CEDAR AVE S, MINNEAPOLIS, MN 55407-2336
(612) 913-7111
Mailing address
3441 CEDAR AVE S, MINNEAPOLIS, MN 55407-2336
(612) 913-7111
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
Other
Enumeration date
02/05/2025
Last updated
05/19/2025
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