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Organization
ON SPOT THERAPY AND OROFACIAL MYOLOGY, LLC
Active
Organization
ON SPOT THERAPY AND OROFACIAL MYOLOGY, LLC
Active
Other names
On Spot Therapy and Orofacial Myology
Organization subpart
No
Provider details
NPI number
Authorized official
TESSA MARIE RASMUSSEN MS CCC-SLP (OWNER)
(701) 532-1507
Entity
Organization
Contact information
Practice address
4500 36TH AVE S STE 200, FARGO, ND 58104-5275
(701) 532-1507
(701) 532-1529
Mailing address
4103 40TH AVE S, MOORHEAD, MN 56560-7503
(701) 212-5926
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
261Q00000X
Clinic/Center
—
—
261QH0700X
Hearing and Speech Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
77101
—
ND
Enumeration date
07/21/2019
Last updated
05/06/2024
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