| NPI | 1063904068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA HEALD SUBLETT Owner/Manager 319-377-0937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2018-06-05 |
| Last Update Date | 2019-05-15 |