| NPI | 1235318098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY EDWARD LOHN President Owner 320-231-1114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 756) |
| Enumeration Date | 2007-10-29 |
| Last Update Date | 2007-10-29 |