Organization Name: | WINNER PHYSICAL THERAPY INC |
NPI Number: | 1063497873 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ARIC N CRAVEN (PRESIDENT) |
Mailing Address: | 825 E 8th St Suite 204 Winner |
State: | SD US |
Postal Code: | 575802633 |
Phone Number: | 6058427188 |
Fax Number: | 6058427189 |
NPI Enumeration Date: | 12/14/2005 |
NPI Last Update Date: | 06/16/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |