| NPI | 1750903175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN ENGLUND Physical Therapist, Owner 763-639-5237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2020-05-07 |
| Last Update Date | 2020-05-27 |