| NPI | 1013238112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCUS HIEB Owner 701-751-3001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: ND 1551) |
| Enumeration Date | 2010-06-13 |
| Last Update Date | 2015-02-11 |