Augsburg Fairview Academy

NPI #1578989984 in Minneapolis, Minnesota

Provider Information

NPI Number: 1578989984
Entity Type: Organization
Organization Name: Augsburg Fairview Academy
Primary Specialty: Occupational Therapist
Enumeration Date: Mar 10, 2014
Last Updated: Mar 10, 2014

Practice Location

Address: 2504 COLUMBUS AVE
City: Minneapolis
State: Minnesota
ZIP Code: 55404-4432
Phone: (612) 333-1614

Authorized Official

Name: RICKY WHITE
Title: DIRECTOR
Phone: (612) 294-1032

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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