| NPI | 1043199334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH CHARLES GAYLORD Chief Financial Officer 612-672-6119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2025-08-29 |
| Last Update Date | 2025-08-29 |