| NPI | 1841678554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETHANY MARIE HUBBARD Owner 952-683-1745 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MN 9524) |
| Enumeration Date | 2015-05-13 |
| Last Update Date | 2018-06-16 |