| NPI | 1558099747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHIANNON M LEGARDE Owner And Physical Therapist 651-894-4585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2022-08-15 |
| Last Update Date | 2022-08-15 |