Organization
INDEPENDENT EXPLORERS OCCUPATIONAL THERAPY PROF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELSEY BONAVIDA (AUTHORIZED OFFICIAL)
(605) 639-9367
Entity
Organization
Contact information
Practice address
1919 STAMPEDE DR, SPEARFISH, SD 57783-9559
(605) 639-9367
Mailing address
1919 STAMPEDE DR, SPEARFISH, SD 57783-9559
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
04/28/2026
Last updated
04/28/2026
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