| NPI | 1225438336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERRY L. WEISS Owner 651-263-3282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MN 4926) |
| Enumeration Date | 2014-08-26 |
| Last Update Date | 2014-08-26 |