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Organization

CHILDRENS THERAPY CENTER, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KATHY WHITE (OFFICE MANAGER)
(651) 994-9644
Entity
Organization

Contact information

Practice address
2795 PILOT KNOB RD STE 100, EAGAN, MN 55121-1930
(651) 994-9644
(651) 994-8962
Mailing address
2795 PILOT KNOB RD STE 100, EAGAN, MN 55121-1930
(651) 994-9644
(651) 994-8962

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
235Z00000X
Speech-Language Pathologist

Other

Enumeration date
04/15/2014
Last updated
04/15/2014
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