| NPI | 1629680574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLIE ALBERTS Physical Therapist 507-828-3369 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2020-08-21 |
| Last Update Date | 2020-08-21 |