| NPI | 1639650393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORDAN BACKSTROM Physical Therapist 701-351-0775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: ND 1755) |
| Enumeration Date | 2018-08-22 |
| Last Update Date | 2018-08-22 |