| NPI | 1952471336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG CARNEY COWELL Owner Physical Therapist 763-576-3030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 1966) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2020-08-22 |