NPI | 1689051682 |
---|---|
Doing Business As | AVERA ADVANCED PHYSICAL THERAPY |
Entity Type | Organization |
Authorized Contact | DOUGLAS EKEREN President/CEO 605-668-8322 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
Enumeration Date | 2015-04-29 |
Last Update Date | 2020-08-20 |