NPI | 1366460719 |
---|---|
Doing Business As | HAM LAKE PHYSICAL THERAPY |
Entity Type | Organization |
Authorized Contact | AMY LYNNE ROCKSTAD Director Of Operations 763-269-8052 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
Enumeration Date | 2006-07-17 |
Last Update Date | 2015-02-20 |