| NPI | 1386794931 |
|---|---|
| Other Name | LAKE REGION THERAPY SERVICES |
| Entity Type | Organization |
| Authorized Contact | STEVEN W JENSEN President Therapist 218-847-5006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2010-08-06 |