| NPI | 1932209020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL ARTHUR BERG Owner 952-758-7014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 5990) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 6759) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2008-01-17 |