| NPI | 1609026103 |
|---|---|
| Doing Business As | PROGRESSIVE PHYSICAL THERAPY OF DEVILS LAKE |
| Entity Type | Organization |
| Authorized Contact | MARY E LUNDY Owner 701-662-5874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2008-09-22 |
| Last Update Date | 2019-01-07 |