Advance Therapy

NPI #1043644784 in Lino Lakes, Minnesota

Provider Information

NPI Number
1043644784
Entity Type
Organization
Organization Name
Advance Therapy
Primary Specialty
Speech-Language Pathologist
Enumeration Date
Aug 29, 2013
Last Updated
Aug 29, 2013

Practice Location

Address
6776 LAKE DR
ZIP Code
55014-1191
Phone
(651) 784-7007

Authorized Official

Name
JENNIFER M JENSEN
Title
SPEECH-LANGUAGE PATHOLOGIST
Phone
(651) 784-7007

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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