| NPI | 1487152146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRSTEN DUCHENEAUX Owner/Physical Therapist 605-222-3934 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2018-01-29 |
| Last Update Date | 2019-06-12 |