| NPI | 1194020669 |
|---|---|
| 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 | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist | |
| 261QH0700X Clinic/Center Hearing and Speech | |
| 261QX0100X Clinic/Center Occupational Medicine | |
| Enumeration Date | 2011-01-14 |
| Last Update Date | 2022-05-16 |