NPI | 1952887051 |
---|---|
Entity Type | Organization |
Authorized Contact | KAREN MALONE Physical Therapist 612-440-6016 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist |
Additional Taxonomies | 305S00000X Point of Service |
Enumeration Date | 2018-07-12 |
Last Update Date | 2020-10-07 |