| NPI | 1407157902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN V GROVES Owner/CEO 763-913-9155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MN 7378) |
| Enumeration Date | 2010-11-15 |
| Last Update Date | 2010-11-15 |