CAPERNAUM PEDIATRIC THERAPY INC. NPI 1619978228

NPI Information

CAPERNAUM PEDIATRIC THERAPY, INC. is a specialist in Richfield, MN. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. CAPERNAUM PEDIATRIC THERAPY, INC. NPI is 1619978228. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6625 LYNDALE AVE S STE 430
RICHFIELD, MN
ZIP 55423-373
Phone: (952) 285-2840
Fax: (952) 285-2830

The provider's authorized official is Bonna Olson .
The authorized official title is Physical Therapist/owner and has the following contact phone number (952) 285-2840.

The enumeration date for this NPI number is 8/4/2005 and was last updated on 2/13/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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