| NPI | 1881295590 |
|---|---|
| Doing Business As | FUNCTIONAL KIDS PEDIATRIC THERAPY |
| Entity Type | Organization |
| Authorized Contact | NICOLE FLUTH Occupational Therapist 605-359-3827 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Enumeration Date | 2020-11-09 |
| Last Update Date | 2025-04-08 |