| NPI | 1932833191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY ROCHFORD Owner 952-250-2414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2022-07-13 |
| Last Update Date | 2024-05-29 |