| NPI | 1538275748 |
|---|---|
| Doing Business As | DAKOTA SPORTS REHAB |
| Entity Type | Organization |
| Authorized Contact | GINA NICOLE LEE Owner 559-907-8810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT32174) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2008-09-22 |