| NPI | 1659886752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA K SODEMANN Owner 701-330-7417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: NM 4513) |
| Enumeration Date | 2017-12-11 |
| Last Update Date | 2021-02-19 |