Provider First Line Business Practice Location Address:
4801 MINNETONKA BLVD
Provider Second Line Business Practice Location Address:
POSITIVE BODY DYNAMICS
Provider Business Practice Location Address City Name:
MINNEAPOLIS
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
55416-4038
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
952-920-9514
Provider Business Practice Location Address Fax Number:
952-920-9814
Provider Enumeration Date:
05/15/2007