| NPI | 1104108232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAURICE D DAVIS President/CEO 612-327-5911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL PT 24289) |
| Enumeration Date | 2011-09-14 |
| Last Update Date | 2017-11-10 |