| NPI | 1114256161 |
|---|---|
| Other Name | LIFESCAPE ABLEKIDS |
| Entity Type | Organization |
| Authorized Contact | AMY M JENSEN Director Of Outpatient Operations 605-444-9711 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IA 001932) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IA 01736) |
| 225100000X Physical Therapist (Licence: IA 004071) | |
| Enumeration Date | 2009-12-21 |
| Last Update Date | 2018-03-29 |