| NPI | 1962429779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL THOMAS WOLFE Clinic Owner 651-747-4328 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2020-08-22 |