| NPI | 1699165050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PENNY WHEELER COO 612-262-4971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: WI 2753) |
| Enumeration Date | 2015-01-23 |
| Last Update Date | 2015-01-23 |