| NPI | 1700927191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA GARRETT JOHNSON Owner 952-432-8677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: MN 4862) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2010-05-26 |