| NPI | 1083253991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN LOCKMAN CEO 612-850-8278 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P0301X Physical Medicine & Rehabilitation, Brain Injury Medicine |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| 2081N0008X Physical Medicine & Rehabilitation, Neuromuscular Medicine | |
| 2081P0004X Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine | |
| Enumeration Date | 2019-12-26 |
| Last Update Date | 2024-12-06 |