Organization
TACO TELETHERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TESSA BALSIGER MA CCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
(612) 643-1659
Entity
Organization
Contact information
Practice address
3210 JUNIPER CIR, UNIT A, SAINT PAUL, MN 55125
(612) 643-1659
Mailing address
3210 JUNIPER CIR, UNIT A, SAINT PAUL, MN 55125
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/16/2021
Last updated
07/16/2021
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