| NPI | 1063717411 |
|---|---|
| Former Legal Business Name | BST WATERTOWN LLC |
| Entity Type | Organization |
| Authorized Contact | ANGIE ACKERMAN VP Finance And Admin 605-541-1144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 261QH0700X Clinic/Center, Hearing and Speech | |
| 261QX0100X Clinic/Center, Occupational Medicine | |
| Enumeration Date | 2011-01-17 |
| Last Update Date | 2023-07-13 |