| NPI | 1700235587 |
|---|---|
| Other Name | M HEALTH FAIRVIEW PEDIATRIC THERAPY - WOODBURY |
| Entity Type | Organization |
| Authorized Contact | ROBERT ANDREW MCCOY VP Revenue Management 612-672-6594 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2020-11-02 |