| NPI | 1821591439 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN NELSON Occupational Therapist 605-201-5199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: SD 0531) |
| Enumeration Date | 2018-03-10 |
| Last Update Date | 2018-03-10 |