| Skill Builderz Pediatric Therapy, Llc | |
|
4133 Iowa St Ste 210 Alexandria MN 56308-3316 | |
| (701) 330-8009 | |
| Not Available |
| Full Name | Skill Builderz Pediatric Therapy, Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 4133 Iowa St Ste 210, Alexandria, Minnesota |
| Authorized Official Name and Position | Lisa K Mitteness (OWNER) |
| Authorized Official Contact | 7013308009 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Skill Builderz Pediatric Therapy, Llc 4133 Iowa St Ste 210 Alexandria MN 56308-3316 Ph: (701) 330-8009 | Skill Builderz Pediatric Therapy, Llc 4133 Iowa St Ste 210 Alexandria MN 56308-3316 Ph: (701) 330-8009 |
| NPI Number | 1144795717 |
|---|---|
| Provider Enumeration Date | 10/09/2018 |
| Last Update Date | 11/17/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144795717 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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