NPI | 1043224744 |
---|---|
Entity Type | Organization |
Authorized Contact | LINDA JENKINS Director 701-352-2574 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
Additional Taxonomies | 225100000X Physical Therapist |
225X00000X Occupational Therapist | |
Enumeration Date | 2006-07-28 |
Last Update Date | 2013-11-19 |