Organization
ORTHOPEDIC PHYSICAL THERAPY CENTER LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEE VALENTINE GOETZ PT (OWNER PHYSICAL THERAPIST)
(605) 725-9900
Entity
Organization
Contact information
Practice address
6 NORTH ROOSEVELT STREET, ABERDEEN, SD 57401
(605) 725-9900
(605) 725-9902
Mailing address
6 NORTH ROOSEVELT STREET, ABERDEEN, SD 57401
(605) 725-9900
(605) 725-9902
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0435
SD
225100000X
Physical Therapist
891
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4994784
BCBS
SD
05
—
5830333
—
SD
01
—
9229263
DAKOTA CARE
SD
Enumeration date
08/09/2006
Last updated
09/06/2007
Update your record
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