| NPI | 1083848683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER M DEFEO President 515-505-2200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: CT 003533) |
| Enumeration Date | 2009-05-11 |
| Last Update Date | 2009-05-11 |