Organization
CREATIVE KIDS THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN HANS OTR/L (OWNER/OCCUPATIONAL THERAPIST)
(701) 367-4736
Entity
Organization
Contact information
Practice address
24941 AMERICA CENTER RD, CUSTER, SD 57730-8335
(701) 367-4736
Mailing address
24941 AMERICA CENTER RD, CUSTER, SD 57730-8335
(701) 367-4736
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
0750
SD
Other
Enumeration date
02/20/2015
Last updated
02/20/2015
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