Organization
OPTIMAL FUNCTION
Active
Other names
Optimal Function Physical Therapy and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
MARIEL NOVACEK (OWNER)
(612) 702-1542
Entity
Organization
Contact information
Practice address
120 1ST ST S, BUFFALO, MN 55313-1402
(612) 756-9757
Mailing address
1606 PULASKI RD, BUFFALO, MN 55313-2228
(612) 756-9757
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
09/04/2020
Last updated
09/04/2020
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