| NPI | 1376657031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW SCOTT DORMANN President/Physical Therapist 605-342-9575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2007-08-01 |