Active Therapy INC
Early Intervention Provider Agency in Minneapolis, MN. Organization (NPI-2).
NPI number1699350884
StatusActive
Last updated in NPPESMar 10, 2021
Details
- NPI
- 1699350884
- Entity type
- Organization (NPI-2)
- Legal business name
- Active Therapy INC
- Organization subpart
- No
- Enumeration date
- Mar 10, 2021
- Certification date
- Feb 19, 2021
- Last updated
- Mar 10, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 252Y00000X | Early Intervention Provider Agency | – | – | Yes |
Practice location
801 E Franklin AveMinneapolis, MN 55404
Phone 612-567-9967
Mailing address
801 E Franklin AveMinneapolis, MN 55404
Phone 612-567-9967
Authorized official
Abdullahi Elmi
Ceo
6125679967
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