NPI | 1033407507 |
---|---|
Entity Type | Organization |
Authorized Contact | LARRY WEBBER Part Owner/Physical Therapist 712-336-3500 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IA 002082) |
Enumeration Date | 2011-07-18 |
Last Update Date | 2011-07-18 |