Organization
AUGSBURG FAIRVIEW ACADEMY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICKY WHITE (DIRECTOR)
(612) 294-1032
Entity
Organization
Contact information
Practice address
2504 COLUMBUS AVE, MINNEAPOLIS, MN 55404-4432
(612) 333-1614
Mailing address
2504 COLUMBUS AVE, MINNEAPOLIS, MN 55404-4432
(612) 333-1614
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
03/10/2014
Last updated
03/10/2014
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