| NPI | 1063938447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN MARIE KRAUSE-ROBERTS President 218-641-7725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ND 1180) |
| Enumeration Date | 2017-08-17 |
| Last Update Date | 2017-08-17 |