Organization
COLLEEN MARTENS ENDRIZZI, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLLEEN MARTENS ENDRIZZI (CEO)
(612) 554-5005
Entity
Organization
Contact information
Practice address
6311 WAYZATA BLVD, SUITE 210, ST LOUIS PARK, MN 55416-1209
(952) 545-0200
Mailing address
6311 WAYZATA BLVD, SUITE 210, ST LOUIS PARK, MN 55416-1209
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
101152
MN
235Z00000X
Speech-Language Pathologist
Primary
5742
MN
Other
Enumeration date
05/31/2009
Last updated
06/11/2009
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