| NPI | 1821547266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HASSAN ALLY RAGE Director 612-345-7769 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MN 0849) |
| Enumeration Date | 2016-09-27 |
| Last Update Date | 2016-09-27 |