| NPI | 1497952162 |
|---|---|
| Doing Business As | SODAK REHAB |
| Entity Type | Organization |
| Authorized Contact | JUDITH R. PETERSON Physician 1605-361-3945 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: SD 5238) |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2020-08-22 |