| NPI | 1679768543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL SAVAGEAU Owner 320-766-9781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MN 4769) |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2011-11-23 |