| NPI | 1750984084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA STEWART Owner 701-405-4344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| 225100000X Physical Therapist | |
| Enumeration Date | 2020-11-19 |
| Last Update Date | 2020-11-19 |