Organization
MORES THERAPEUTICS
Active
Other names
Mores Therapeutics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH WUTOH (CO-OWNER)
(701) 570-4006
Entity
Organization
Contact information
Practice address
4825 58TH AVE N, MINNEAPOLIS, MN 55429-2821
(701) 570-4006
Mailing address
4825 58TH AVE N, MINNEAPOLIS, MN 55429-2821
(701) 570-4006
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
164W00000X
Licensed Practical Nurse
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261QH0700X
Hearing and Speech Clinic/Center
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
07/30/2021
Last updated
07/30/2021
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