| NPI | 1225059074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM E WIEKING Provider And General Pa RN Ter 605-335-8326 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2008-02-21 |