| NPI | 1679940084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE STEIN KRALJ Physical Therapist 612-203-1045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: CO PTL.0012773) |
| Enumeration Date | 2015-09-01 |
| Last Update Date | 2015-09-01 |