| NPI | 1972092989 |
|---|---|
| Doing Business As | RENEW PHYSICAL THERAPY AND WELLNESS |
| Entity Type | Organization |
| Authorized Contact | KIMBERLY A JOHNSON Owner 763-228-2755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic |
| Enumeration Date | 2018-05-04 |
| Last Update Date | 2018-05-17 |