| NPI | 1346723780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REZA ALIZADEH President 952-229-7464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2018-09-12 |
| Last Update Date | 2021-07-19 |