| NPI | 1427146737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS M PETERSON Owner/Physical Therapist 320-654-9838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2022-05-31 |