NPI | 1942377411 |
---|---|
Entity Type | Organization |
Authorized Contact | SARA STUTSMAN MASSARO President 651-260-3774 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 5428) |
Enumeration Date | 2006-11-29 |
Last Update Date | 2020-08-22 |