| NPI | 1023296167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REZA P ALIZADEH Chiropractor 612-868-6894 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: MN 3221) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 8737) |
| Enumeration Date | 2008-01-31 |
| Last Update Date | 2014-08-11 |