| NPI | 1053436188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK G HULST Physical Therapist Executive Dir 712-737-5234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2022-07-21 |