NPI | 1881208981 |
---|---|
Doing Business As | OPTIMAL FUNCTION PHYSICAL THERAPY AND WELLNESS |
Entity Type | Organization |
Authorized Contact | MARIEL NOVACEK Owner 612-702-1542 |
Organization Subpart ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
Enumeration Date | 2020-09-04 |
Last Update Date | 2020-09-04 |