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 |