| NPI | 1851486203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN F. BLACKFORD Physical Therapsit/Office Manager 651-484-6735 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2018-02-09 |