Organization · Type 2 NPI
Eagle Therapy LLC
Developmental Disabilities Clinic/Center · Roseville, MN
Practice location
2745 Herschel St N, A109
Roseville, MN 55113
Mailing address
3800 American Blvd W Ste 1500
Bloomington, MN 55431-4429
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | None listed |
| Developmental Disabilities Clinic/Center Primary | 261QD1600X | None listed |
Developmental Disabilities Clinic/Center: An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
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- Guided GrowthDevelopmental Disabilities Clinic/Center Roseville, MN NPI 1841016573
About NPI 1114755923
Eagle Therapy LLC's National Provider Identifier is 1114755923, issued on Jul 23, 2024. The primary taxonomy on file is Developmental Disabilities Clinic/Center (261QD1600X), and the practice location is in Roseville, MN. The record was last updated on Jul 23, 2024.