| NPI | 1033641352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN O'NEIL Physical Therapist 763-226-6046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: SD 1955) |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2017-03-28 |