| NPI | 1265840888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBI BENSON Pnhs Credentialing Services 952-993-5911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2014-07-28 |
| Last Update Date | 2014-07-28 |