| NPI | 1346773330 |
|---|---|
| Doing Business As | VIVERANTOS |
| Entity Type | Organization |
| Authorized Contact | MICHAEL RYAN LANHAM Director 952-835-4512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2017-04-06 |