| NPI | 1881262764 |
|---|---|
| Former Name | RACHEL HOVERSTAD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 12225) |
| Additional Taxonomies | 2251N0400X Physical Therapist, Neurology (Licence: MN 12225) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: MN 12225) | |
| Enumeration Date | 2021-06-16 |
| Last Update Date | 2022-04-13 |