| NPI | 1629004692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAN MARGURITE HANSON Owner 651-501-2010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: MN 885) |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2023-12-28 |