| NPI | 1407356157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TATYANA E. SIMELGOR Physical Therapist 651-417-2121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 7114) |
| Enumeration Date | 2018-02-20 |
| Last Update Date | 2018-02-20 |