| NPI | 1780963355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELENA LEV POLUKHIN Owner/Medical Director 651-789-8022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner (Licence: MN 45600) |
| Enumeration Date | 2011-08-12 |
| Last Update Date | 2011-08-12 |