| NPI | 1013275825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY CHRISTINE TANNER Owner, Physical Therapist 218-730-7920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MN 5549) |
| Enumeration Date | 2012-04-30 |
| Last Update Date | 2012-04-30 |