NPI | 1275575805 |
---|---|
Doing Business As | ST. LUKE'S REHAB SERVICES |
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 |
235Z00000X Speech-Language Pathologist | |
Enumeration Date | 2006-06-11 |
Last Update Date | 2020-08-22 |