| NPI | 1578294484 |
|---|---|
| Former Legal Business Name | TRIA ORTHOPAEDIC CENTER |
| Entity Type | Organization |
| Authorized Contact | ANTHONY TATUM Physical Therapist 952-993-4734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic |
| Enumeration Date | 2022-06-21 |
| Last Update Date | 2022-06-21 |