| NPI | 1083121792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISANN MILLER Owner 701-751-0410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| 225100000X Physical Therapist | |
| Enumeration Date | 2018-01-03 |
| Last Update Date | 2022-11-17 |