| NPI | 1770467805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRATIBHA VERMA Owner Provider Authorized Official 763-273-6500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2025-08-01 |
| Last Update Date | 2025-08-01 |