| NPI | 1598298101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER D BOSSERT Master Physical Therapist 701-400-4784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ND 1488) |
| Enumeration Date | 2017-04-10 |
| Last Update Date | 2017-04-10 |