| NPI | 1396234076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REZA ALIZADEH Owner/Dc 952-401-2336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2018-05-08 |
| Last Update Date | 2022-07-11 |