| 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 |