| NPI | 1659418960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONI BICH Member 605-234-1287 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2015-04-13 |