Organization
BUILDING GREAT KIDS THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEITH ALAN RITSCHE OTR/L (OCCUPATIONAL THERAPIST/DIRECTOR)
(218) 590-6530
Entity
Organization
Contact information
Practice address
1738 EAGAN RD, MADISON, WI 53704-3736
(218) 590-6530
Mailing address
N7169 E PLAZA DR, BEAVER DAM, WI 53916-9403
(920) 887-7545
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
2080P0006X
Developmental - Behavioral Pediatrics Physician
—
—
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
—
—
Other
Enumeration date
07/08/2022
Last updated
07/08/2022
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