NPI | 1598546954 |
---|---|
Doing Business As | LUCKY MOUND THERAPY |
Entity Type | Organization |
Authorized Contact | SADIE JAYNE DALE Physical Therapist 701-333-8073 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
Enumeration Date | 2023-10-11 |
Last Update Date | 2024-05-14 |