| NPI | 1770311375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS ANDREAS Owner/Therapist 952-250-1158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine |
| Enumeration Date | 2024-07-24 |
| Last Update Date | 2024-07-24 |