| NPI | 1679010953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLIN KUDRNA President 701-590-0316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: ND 2031) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ND 2031) |
| Enumeration Date | 2017-01-25 |
| Last Update Date | 2017-01-25 |