| NPI | 1679804587 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL MARIE GABBERT Owner/Member 605-988-4528 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2010-01-18 |
| Last Update Date | 2022-11-11 |