| NPI | 1821538612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL G VAN VOORST Owner 605-651-1644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: AZ 9539) |
| Enumeration Date | 2017-02-28 |
| Last Update Date | 2024-07-30 |