| NPI | 1073821492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY M. MEYER Business Manager 605-432-5579 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SD 0184) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SD 68252-1) |
| 224Z00000X Occupational Therapy Assistant (Licence: SD 047a) | |
| 225200000X Physical Therapy Assistant (Licence: SD 0153) | |
| 225200000X Physical Therapy Assistant (Licence: SD 0195) | |
| 225X00000X Occupational Therapist (Licence: SD 0694) | |
| 225X00000X Occupational Therapist (Licence: SD 0693) | |
| Enumeration Date | 2010-09-20 |
| Last Update Date | 2011-10-25 |