Organization
GREAT KIDS THERAPY, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELSEY HOFFMANN OTR/L (OWNER)
(701) 205-4194
Entity
Organization
Contact information
Practice address
3120 25TH ST S STE N, FARGO, ND 58103-6110
(701) 205-4194
(701) 540-9044
Mailing address
3507 EVERGREEN RD N, FARGO, ND 58102-1218
(701) 261-4643
(701) 293-0981
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
103207
MN
225X00000X
Occupational Therapist
Primary
345
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
54371
—
ND
05
—
54375
—
ND
Enumeration date
06/22/2015
Last updated
02/28/2024
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