| NPI | 1184958704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER TVRDY Owner 763-383-7666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: MN 103355) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 261QR0400X Clinic/Center, Rehabilitation | |
| Enumeration Date | 2009-09-29 |
| Last Update Date | 2024-07-02 |