| NPI | 1861067068 |
|---|---|
| Former Legal Business Name | GRAY DUCK PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | NICHOLAS J MANNING Owner 612-217-2154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2021-05-21 |
| Last Update Date | 2021-11-01 |