Fundamental Kids Therapy LLC

NPI #1922443522 in Shoreview, Minnesota

Provider Information

NPI Number
1922443522
Entity Type
Organization
Organization Name
Fundamental Kids Therapy LLC
Primary Specialty
Speech-Language Pathologist
Enumeration Date
May 8, 2013
Last Updated
Oct 17, 2021

Practice Location

Address
5985 RICE CREEK PKWY STE 205
ZIP Code
55126-5037
Phone
(612) 888-4757

Authorized Official

Name
MRS. JULIE M JOHNSON, MA, CCC-SLP
Title
OWNER
Phone
(952) 297-2460

Specialties & Taxonomy Codes

Specialty
Occupational Therapist
Speech-Language Pathologist

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