NPI | 1396475927 |
---|---|
Entity Type | Organization |
Authorized Contact | JASON TJOSVOLD Chief Administrative Officer 763-567-8951 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist |
Additional Taxonomies | 225X00000X Occupational Therapist |
Enumeration Date | 2022-06-15 |
Last Update Date | 2022-06-24 |