Organization Name: | HOWARD PHYSICAL THERAPY, PC |
NPI Number: | 1952334013 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WESLEY ALAN MENTELE (PRESIDENT) |
Mailing Address: | 131 South Main St. Howard |
State: | SD US |
Postal Code: | 57349 |
Phone Number: | 6057722131 |
Fax Number: | 6057722041 |
NPI Enumeration Date: | 07/09/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SD |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |