Basic Information
| Provider Information | |||||||||
| NPI: | 1568893873 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | SAUNDERS THERAPY CENTERS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 10900 73RD AVE N | ||||||||
| Address2: | SUITE 110 | ||||||||
| City: | MAPLE GROVE | ||||||||
| State: | MN | ||||||||
| PostalCode: | 553695458 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7633151296 | ||||||||
| FaxNumber: | 7633151297 | ||||||||
| Practice Location | |||||||||
| Address1: | 10900 73RD AVE N | ||||||||
| Address2: | SUITE 110 | ||||||||
| City: | MAPLE GROVE | ||||||||
| State: | MN | ||||||||
| PostalCode: | 553695458 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7633151296 | ||||||||
| FaxNumber: | 7633151297 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/12/2013 | ||||||||
| LastUpdateDate: | 12/12/2013 | ||||||||
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| AuthorizedOfficialLastName: | CMIEL | ||||||||
| AuthorizedOfficialFirstName: | TREVOR | ||||||||
| AuthorizedOfficialMiddleName: | JAMES | ||||||||
| AuthorizedOfficialTitleorPosition: | CLINIC OPERATIONS MANAGER | ||||||||
| AuthorizedOfficialTelephone: | 7633151296 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MR. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225X00000X | N | 193400000X MULTIPLE SINGLE SPECIALTY GROUP | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | 225100000X | Y | 193400000X MULTIPLE SINGLE SPECIALTY GROUP | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.