| NPI | 1700237450 |
|---|---|
| Doing Business As | VIVERANT |
| Entity Type | Organization |
| Authorized Contact | MICHAEL RYAN LANHAM Director 952-835-4512 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2020-06-01 |