Organization
THE THERAPY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA MARIE PIETIG MS, CCC-SLP (SPEECH LANGUAGE PATHOGIST)
(612) 239-0707
Entity
Organization
Contact information
Practice address
223 SHAMROCK DR, MAHTOMEDI, MN 55115-1760
(612) 239-0707
(715) 549-9213
Mailing address
223 SHAMROCK DR, MAHTOMEDI, MN 55115-1760
(612) 239-0707
(715) 549-9213
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7207
MN
Other
Enumeration date
06/18/2009
Last updated
06/18/2009
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