Organization
EP ACADEMY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZAKARIA ABDI PRESIDENT (OWNER)
(763) 843-5055
Entity
Organization
Contact information
Practice address
8700 W 36TH ST STE 221, SAINT LOUIS PARK, MN 55426-3906
(763) 346-0522
Mailing address
1380 ENERGY LN STE 201, SAINT PAUL, MN 55108-5253
(763) 843-5055
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
09/09/2022
Last updated
07/30/2024
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