| NPI | 1639257033 |
|---|---|
| Doing Business As | RED DOOR PEDIATRIC THERAPY |
| Entity Type | Organization |
| Authorized Contact | TIA-LEE WHITTED Authorized Official / Financial 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 | 2024-06-04 |