| NPI | 1700146396 |
|---|---|
| Doing Business As | AVERA MCKENNAN OUTPATIENT THERAPY EAST |
| Entity Type | Organization |
| Authorized Contact | JULIE N NORTON SVP/CFO 605-322-7818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: SD 10563) |
| Enumeration Date | 2012-05-17 |
| Last Update Date | 2012-05-17 |