| NPI | 1629463344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE NASH Operations Manager 952-224-1919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: IL 070020938) |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2015-03-31 |