| NPI | 1629701438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH ALAN RITSCHE Occupational Therapist/Director 218-590-6530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 2080P0006X Pediatrics Developmental - Behavioral Pediatrics |
| 2080P0008X Pediatrics Neurodevelopmental Disabilities | |
| Enumeration Date | 2022-07-08 |
| Last Update Date | 2022-07-08 |