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Organization

SUNSHINE PEDIATRIC THERAPY, PLLC

Active
Other names
Sunshine Pediatric Therapy
Organization subpart
No

Provider details

NPI number
Authorized official
CANDACE RAE LARSON M.S. (OWNER/SPEECH-LANGUAGE PATHOLOGIST)
(701) 500-0104
Entity
Organization

Contact information

Practice address
15 1ST AVE SE, MINOT, ND 58701-3991
(701) 500-0104
Mailing address
1208 13TH ST SW, MINOT, ND 58701-5784
(701) 500-0104

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary

Other

Enumeration date
07/09/2025
Last updated
07/10/2025
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