| NPI | 1346284460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA MARIE-LEWIS LEE Owner/President 218-722-3800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MN 4018) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2020-08-22 |