Organization
SUNNYDAYS THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY PETERS (PRESIDENT)
(952) 223-2506
Entity
Organization
Contact information
Practice address
9346 OAK AVE, WACONIA, MN 55387-9422
(952) 223-2506
Mailing address
9346 OAK AVE, WACONIA, MN 55387-9422
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
931429600
—
MN
Enumeration date
04/24/2007
Last updated
03/28/2024
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