| NPI | 1831325620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON WILLIAM BRODINA Secretary/Treasurer 218-444-8280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 6604) |
| 225100000X Physical Therapist (Licence: MN 3079) | |
| 225X00000X Occupational Therapist (Licence: MN 101597) | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| 225100000X Physical Therapist | |
| Enumeration Date | 2009-06-07 |
| Last Update Date | 2017-03-23 |