| NPI | 1881295590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE FLUTH Occupational Therapist 605-359-3827 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2020-11-09 |
| Last Update Date | 2024-01-03 |