| NPI | 1255375556 |
|---|---|
| Doing Business As | ST. LUKE'S PT/OT CLINICS |
| Entity Type | Organization |
| Authorized Contact | MARK A JOHNSON Vice President 712-279-3934 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2008-06-24 |