| NPI | 1487006706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH ANN VAN BRUGGEN Owner 712-441-1710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IA 001958) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2017-06-05 |