| NPI | 1184009029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANA TROTTER Physical Therapist 701-260-2693 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ND 1964) |
| Enumeration Date | 2015-07-21 |
| Last Update Date | 2015-07-22 |