Support Therapy LLC
NPI #1255294062 in Bloomington, Minnesota
Provider Information
- NPI Number
- 1255294062
- Entity Type
- Organization
- Organization Name
- Support Therapy LLC
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Dec 8, 2025
- Last Updated
- Dec 8, 2025
Practice Location
- Address
- 9740 GRAND AVE S STE 201
- City
- Bloomington
- State
- Minnesota
- ZIP Code
- 55420-4225
- Phone
- (470) 979-0239
Authorized Official
- Name
- ABDIFATAH OMAR ABDI
- Title
- OWNER
- Phone
- (470) 979-0239
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