| NPI | 1619217775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRANDA LYNN FREESEMANN Occupational Therapist 605-212-7428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: SD 0869) |
| Enumeration Date | 2013-02-26 |
| Last Update Date | 2013-02-26 |