| NPI | 1356442065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN MARIE NEUMANN President 218-721-4732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: MN 404834200) |
| Additional Taxonomies | 251S00000X |
| 261QP2000X Clinic/Center, Physical Therapy | |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2013-01-02 |