| NPI | 1710924105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DWAINE HYMAN WINTZ Owner/Operator 701-704-4976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 9846) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2022-07-21 |