| NPI | 1285194324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESSA BROCK Physical Therapist/ Owner 701-720-6354 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2019-03-24 |
| Last Update Date | 2019-07-02 |