| NPI | 1225326036 |
|---|---|
| Doing Business As | CASPERSEN THERAPY CENTER |
| Entity Type | Organization |
| Authorized Contact | JOHN R. STILLMAN Owner 612-558-2705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X (Licence: MN 12770) |
| Enumeration Date | 2011-07-13 |
| Last Update Date | 2021-07-13 |