| NPI | 1073656674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA A HAZELL Physical Therapist 319-656-3177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IA 00261) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2007-10-10 |