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Organization
EVOLUTION THERAPY
Active
Organization
EVOLUTION THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTINA LYNN SPAETH-HARRER OTR/L (LEAD OT)
(651) 247-2126
Entity
Organization
Contact information
Practice address
2508 EDINBROOK TER, BROOKLYN PARK, MN 55443-3739
(651) 247-2126
Mailing address
2508 EDINBROOK TER, BROOKLYN PARK, MN 55443-3739
(651) 247-2126
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
101184
MN
Other
Enumeration date
05/12/2009
Last updated
05/12/2009
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