| NPI | 1497805196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELSEY HOFFMAN Owner 701-205-4194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: ND 345) |
| Additional Taxonomies | 2251P0200X Physical Therapist Pediatrics (Licence: ND 103207) |
| 225X00000X Occupational Therapist (Licence: MN 103207) | |
| 225XP0200X Occupational Therapist Pediatrics (Licence: ND 345) | |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2024-02-07 |