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Organization

METRO THERAPY SPECIAL CHILDREN'S CLINIC, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. PATRICK TIMOTHY SULLIVAN (PRESIDENT)
(763) 572-2519
Entity
Organization

Contact information

Practice address
5155 E RIVER RD STE 403, FRIDLEY, MN 55421-3777
(762) 572-2519
(763) 572-2616
Mailing address
5155 E RIVER RD STE 403, FRIDLEY, MN 55421-3777
(762) 572-2519
(763) 572-2616

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
MN
235Z00000X
Speech-Language Pathologist
MN

Other

Enumeration date
04/18/2012
Last updated
04/18/2012
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