Organization
ROOTS AND WINGS THERAPEUTIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH JUANITA DUFFY (PARTNER)
(608) 322-2722
Entity
Organization
Contact information
Practice address
9817 GARDEN LN, ROGERS, MN 55374-9775
(612) 408-6580
Mailing address
4707 HIGHWAY 61 N STE 150, WHITE BEAR LAKE, MN 55110-3227
(601) 392-2097
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
12/01/2021
Last updated
01/19/2022
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