| NPI | 1457718264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOCELYN LIAN Physical Therapist/Owner 612-280-6065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics |
| Enumeration Date | 2016-01-25 |
| Last Update Date | 2016-01-25 |