| NPI | 1366460719 |
|---|---|
| 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 |