| NPI | 1346494697 |
|---|---|
| Doing Business As | AVERA MCKENNAN OUTPATIENT THERAPY SERVICES - BRANDON |
| Entity Type | Organization |
| Authorized Contact | RONALD JOSEPH PLACE President/CEO 605-322-7903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: SD 10563) |
| Enumeration Date | 2008-11-13 |
| Last Update Date | 2023-10-04 |