| NPI | 1528509288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT BROWN Owner 701-367-2495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: ND 1472) |
| Enumeration Date | 2017-03-14 |
| Last Update Date | 2017-03-14 |