| NPI | 1194741280 |
|---|---|
| Doing Business As | SOUTHFORK REHABILITATION |
| Entity Type | Organization |
| Authorized Contact | GARY L KUYKENDALL Manager 406-535-5157 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2020-08-22 |