| NPI | 1881409951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YAKOV GRADINAR Chief Medical Officer 612-772-4777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| 261QP2000X Clinic/Center, Physical Therapy | |
| 261QA0900X Clinic/Center, Amputee | |
| Enumeration Date | 2025-02-07 |
| Last Update Date | 2025-11-01 |