| NPI | 1285797944 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT S ROBITAILLE Owner 651-232-2036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MN 46841) |
| Enumeration Date | 2006-12-17 |
| Last Update Date | 2011-03-29 |