| NPI | 1104416957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY LEACH Owner/Physical Therapist 319-329-2711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2021-01-25 |
| Last Update Date | 2021-01-25 |