| NPI | 1184951717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER ENGELBERT PT 651-271-1512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MN 2057) |
| Enumeration Date | 2009-11-03 |
| Last Update Date | 2009-11-03 |