| NPI | 1194919571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA IRENE PLASENCIA Owner 651-246-2087 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 5930) |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2012-10-17 |