| NPI | 1386271690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUMEN PETKOV Business Owner 651-442-5094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0019X Occupational Therapist, Physical Rehabilitation |
| Enumeration Date | 2020-03-25 |
| Last Update Date | 2021-08-23 |