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 |