| NPI | 1164117750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD JOHN FOX Owner/Operator 319-400-2689 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant |
| 225200000X Physical Therapy Assistant | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2023-04-10 |
| Last Update Date | 2023-04-29 |