| NPI | 1518950815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA C. MONTGOMERY President 952-936-9215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: MN 03158) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2020-08-22 |