| NPI | 1598930109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIM EISSINGER CEO 701-952-5187 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 235Z00000X Speech-Language Pathologist | |
| 261QM1300X Clinic/Center Multi-Specialty | |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2021-05-17 |