Sara Breanna Exsted SLP CCC

NPI 1740210467 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1740210467
Gender Female
Enumeration Date 07/05/2006
Last Updated 06/02/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
4010 W 65TH ST
SUITE 105
EDINA MN, 55435-1721, US
Phone (952) 285-2840
Fax (952) 285-2830
Business Location
1009 GOLF COURSE RD
MONTICELLO MN, 55362-8747, US
Phone
Fax
Toxanomy
Taxonomy Code 235Z00000X
License State Minnesota
License Number 8041
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According to our database, Sara Breanna Exsted SLP CCC NPI is 1740210467, taxonomy code is 235Z00000X and license number is 8041, license state is located at Minnesota. Sara Breanna Exsted SLP CCC physically located at 4010 W 65th St, Edina MN, 55435-1721. NPI Number Sara Breanna Exsted SLP CCC has the Individual type.

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1740210467 NPI number is provided on an as is basis without warranty of any kind. 1740210467 is maintained by the National Plan & Provider Enumeration System. The contents of Sara Breanna Exsted SLP CCC are for informational purposes only.