Sota Speech Therapy LLC
Clinic/Center, Hearing and Speech in Oak Park Heights, MN. Organization (NPI-2).
NPI number1629802475
StatusActive
Last updated in NPPESAug 26, 2024
Details
- NPI
- 1629802475
- Entity type
- Organization (NPI-2)
- Legal business name
- Sota Speech Therapy LLC
- Organization subpart
- No
- Enumeration date
- Aug 26, 2024
- Certification date
- Aug 26, 2024
- Last updated
- Aug 26, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QH0700X | Clinic/Center, Hearing and Speech | – | – | Yes |
Practice location
5620 Memorial Ave N Ste HOak Park Heights, MN 55082-1052
Phone 651-243-0043 · Fax 651-342-8442
Mailing address
1180 Sycamore St WStillwater, MN 55082-4164
Authorized official
Anna Quast
Speech-Language Pathologist/Owner
6518088847
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