Organization
FAMILY ACHIEVEMENT CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS HOEL (CEO)
(651) 738-9880
Entity
Organization
Contact information
Practice address
2101 WOODDALE DR, SUITE A, WOODBURY, MN 55125-4441
(651) 738-9888
(651) 738-9889
Mailing address
2101 WOODDALE DR, SUITE A, WOODBURY, MN 55125-4441
(651) 738-9888
(651) 738-9889
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1030327
PREFERRED ONE
MN
01
—
47G26FA
BCBS - PT
MN
01
—
47G29FA
BCBS - OT
MN
01
—
48G18FA
BCBS - ST
MN
05
—
930379100
—
MN
Enumeration date
08/30/2006
Last updated
07/08/2020
Update your record
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