NPI | 1194021873 |
---|---|
Entity Type | Organization |
Authorized Contact | ANGIE ACKERMAN Administrator 605-541-1144 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
Additional Taxonomies | 261QX0100X Clinic/Center, Occupational Medicine |
225100000X Physical Therapist | |
225X00000X Occupational Therapist | |
261QH0700X Clinic/Center, Hearing and Speech | |
Enumeration Date | 2011-01-28 |
Last Update Date | 2022-06-16 |