| NPI | 1861827578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERI R FOCHT Owner/O PT Ician 651-333-4420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156F00000X Technician/Technologist |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2013-09-12 |
| Last Update Date | 2023-03-07 |