| NPI | 1881365575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NGULWE K. ALFANI Project Manager 651-424-9993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P0301X Physical Medicine & Rehabilitation, Brain Injury Medicine |
| Enumeration Date | 2021-09-23 |
| Last Update Date | 2021-09-23 |