| NPI | 1700079365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF FOSS Physical Therapist 952-403-2001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MN 6358) |
| Enumeration Date | 2007-08-27 |
| Last Update Date | 2007-08-27 |