NPI | 1639257033 |
---|---|
Doing Business As | RED DOOR PEDIATRIC THERAPY |
Entity Type | Organization |
Authorized Contact | TIA-LEE WHITTED Financial Specialist 701-214-5617 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ND 862) |
Additional Taxonomies | 101YP2500X Counselor, Professional |
225100000X Physical Therapist | |
225X00000X Occupational Therapist (Licence: ND 908) | |
Enumeration Date | 2006-11-02 |
Last Update Date | 2024-08-21 |