| NPI | 1891387403 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE GIFFHORN Pediatric Physical Therapist/Owner 651-587-5454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2021-02-04 |
| Last Update Date | 2021-02-04 |