Organization
TLC PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THEA LOY PALLANSCH (PT)
(605) 345-3710
Entity
Organization
Contact information
Practice address
1290 NORTH MAIN ST STE 2, WEBSTER, SD 57274-1114
(605) 345-3710
Mailing address
1290 NORTH MAIN ST STE 2, WEBSTER, SD 57274-1114
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0150
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S6393
MEDICARE GROUP
SD
Enumeration date
11/28/2007
Last updated
11/28/2007
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