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Organization

FOR LIFE THERAPY INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JACOB TESCH PT,DPT (PRESIDENT)
(605) 878-3334
Entity
Organization

Contact information

Practice address
913 10TH AVE SE, WATERTOWN, SD 57201
(605) 878-3334
Mailing address
913 10TH AVE SE, WATERTOWN, SD 57201
(605) 878-3334

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
1508
SD

Other

Enumeration date
06/27/2012
Last updated
06/27/2012
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