| NPI | 1083258230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRY DIETSCH CFO 319-472-6255 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2019-10-31 |
| Last Update Date | 2019-10-31 |