| NPI | 1992021851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD GINKEL Owner 952-908-2565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 111N00000X Chiropractor |
| 111NR0400X Chiropractor, Rehabilitation | |
| 208100000X Physical Medicine & Rehabilitation | |
| 225200000X Physical Therapy Assistant | |
| 225X00000X Occupational Therapist | |
| 225XP0019X Occupational Therapist, Physical Rehabilitation | |
| Enumeration Date | 2010-04-15 |
| Last Update Date | 2010-09-01 |