On Track Mn, L.l.c.
NPI #1942853940 in St Louis Park, Minnesota
Provider Information
- NPI Number
- 1942853940
- Entity Type
- Organization
- Organization Name
- On Track Mn, L.l.c.
- Primary Specialty
- Early Intervention Provider Agency
- Enumeration Date
- Jul 18, 2019
- Last Updated
- Aug 22, 2024
Practice Location
- Address
- 7035 WAYZATA BLVD
- City
- St Louis Park
- State
- Minnesota
- ZIP Code
- 55426-1753
- Phone
- (612) 413-8780
Authorized Official
- Name
- CHRISTINE DEANNE HENDRICKSON
- Title
- DIRECTOR
- Phone
- (612) 413-8780
Specialties & Taxonomy Codes
| Specialty |
|---|
| Home Health |
| Early Intervention Provider Agency |
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