| NPI | 1184700924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY BERGS Office Manager 320-763-5505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MN 6847) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2008-06-11 |