| NPI | 1144236688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELDON SODERBERG Owner 763-525-9566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: MN 1821) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2020-08-22 |