| NPI | 1720485394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID OLSHANSKY Shareholder 612-986-2084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MN 9453) |
| Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation (Licence: MN 9453) |
| Enumeration Date | 2014-11-26 |
| Last Update Date | 2014-12-01 |