| NPI | 1437332392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN LOURIS Billing Service 507-387-5134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner (Licence: MN 22770) |
| Enumeration Date | 2007-12-13 |
| Last Update Date | 2007-12-13 |