| NPI | 1285925453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH PETTYJOHN Sole Member 605-787-2719 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: SD 1487) |
| Enumeration Date | 2011-04-22 |
| Last Update Date | 2015-11-25 |