Organization
SHINE THERAPIES FOR KIDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARA JOHNSON (OCCUPATIONAL THERAPIST)
(701) 527-1834
Entity
Organization
Contact information
Practice address
620 N BURLINGTON AVE, FERGUS FALLS, MN 56537-2318
(701) 527-1834
Mailing address
620 N BURLINGTON AVE, FERGUS FALLS, MN 56537-2318
(701) 527-1834
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
06/16/2025
Last updated
06/16/2025
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