| NPI | 1508902636 |
|---|---|
| Former Legal Business Name | PRO PHYSICAL THERAPY PA |
| Entity Type | Organization |
| Authorized Contact | MICHAEL FRICKE Owner 952-891-2645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 2187) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: MN 2187) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2008-06-23 |