NPI | 1992715197 |
---|---|
Entity Type | Organization |
Authorized Contact | LEE VALENTINE GOETZ Owner Physical Therapist 605-725-9900 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: SD 0435) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: ND 891) |
Enumeration Date | 2006-08-09 |
Last Update Date | 2007-09-06 |