| NPI | 1881307932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE HOFFMAN Owner 612-889-0973 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2023-01-04 |
| Last Update Date | 2023-12-19 |