NPI | 1184990608 |
---|---|
Entity Type | Organization |
Authorized Contact | GEORGE D STARR Director 701-854-3678 |
Organization Subpart ? | No |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
Additional Taxonomies | 225100000X Physical Therapist |
225X00000X Occupational Therapist (Licence: ND 551) | |
235Z00000X Speech-Language Pathologist, | |
Enumeration Date | 2012-03-29 |
Last Update Date | 2012-03-29 |