| NPI | 1760263461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT EVANS Doctor Of Physical Therapy 612-226-7885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2023-10-09 |
| Last Update Date | 2024-01-04 |