NPI | 1093461048 |
---|---|
Other Name | LAKE MINNETONKA MOBILE WELLNESS, PA |
Entity Type | Organization |
Authorized Contact | JASON STRANDBERG CEO/Medical Director 952-222-7886 |
Organization Subpart ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
Enumeration Date | 2022-02-28 |
Last Update Date | 2022-02-28 |