Organization Name: | SPOT REHABILITATION INC. |
NPI Number: | 1013919448 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ELIZABETH STEINESSEN (CEO) |
Mailing Address: | 2835 W Saint Germain St Suite 300 Saint Cloud |
State: | MN US |
Postal Code: | 563014743 |
Phone Number: | 3202594151 |
Fax Number: | 3202595707 |
NPI Enumeration Date: | 08/15/2005 |
NPI Last Update Date: | 06/20/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |