| NPI | 1881631299 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN R LORENZ Owner 701-840-0146 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2017-08-31 |