Organization
RAINBOW SPECTRUM THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RODA MAHAMOUD (OWNER)
(763) 347-1017
Entity
Organization
Contact information
Practice address
8570 EDINBURGH CENTRE DR, BROOKLYN PARK, MN 55443
(763) 347-1017
Mailing address
8570 EDINBURGH CENTRE DR, BROOKLYN PARK, MN 55443
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
12/28/2020
Last updated
12/28/2020
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