NPI | 1487064507 |
---|---|
Entity Type | Organization |
Authorized Contact | HEATHER LYN ENGELBERT Clinic Owner, Clinician 651-905-9000 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
Enumeration Date | 2014-04-28 |
Last Update Date | 2022-10-26 |