Organization
BREAKTHROUGH THERAPY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAMID AHMED MOHAMED (CEO/PRESIDENT)
(612) 707-7530
Entity
Organization
Contact information
Practice address
2720 SUPERIOR DR NW STE 101, ROCHESTER, MN 55901-1775
(952) 212-0358
(612) 326-6160
Mailing address
2001 KILLEBREW DR STE 112, BLOOMINGTON, MN 55425-1871
(952) 212-0358
(612) 326-6160
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
12/13/2022
Last updated
06/04/2024
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