| NPI | 1790990968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN R LORENZ President 701-678-2244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2017-08-31 |