| NPI | 1396310082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REZA ALIZADEH President 612-868-6894 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2021-05-25 |
| Last Update Date | 2021-05-25 |