| 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 |