| NPI | 1023757077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA NOVOTNY Physical Therapist 605-840-9802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2022-05-28 |
| Last Update Date | 2022-05-28 |