| NPI | 1437249489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH A WEGNER Owner Vice President 651-639-9150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2020-08-22 |