NPI 1053022756
Breakthrough Therapy Center, LLC
Practice location
- Address
- 2720 Superior Dr NW STE 101, Rochester, MN 55901-1775
- Phone
- (952) 212-0358
- Fax
- (612) 326-6160
- Mailing address
- 2001 Killebrew Dr STE 112, Bloomington, MN 55425-1871
Authorised official
- Name
- Hamid Ahmed Mohamed
- Title
- Ceo/President
- Phone
- (612) 707-7530
Registered specialties
Early Intervention Provider Agency
Primary
Registry record
- NPI
- 1053022756
- Entity type
- Organization
- NPI issued
- 13 Dec 2022
- Record last updated
- 4 Jun 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.