| NPI | 1437403110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAL M SHELANGOSKI CFO 952-283-2204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| 261QH0700X Clinic/Center, Hearing and Speech | |
| 261QR0400X Clinic/Center, Rehabilitation | |
| Enumeration Date | 2012-11-02 |
| Last Update Date | 2024-07-02 |