| 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 |