| NPI | 1558872267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA MARIE BEERY Physical Therapist 612-581-2822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 8983) |
| Enumeration Date | 2017-10-20 |
| Last Update Date | 2017-10-20 |