NPI | 1164738027 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFFREY ALAN KEMP Owner 319-239-5009 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: IA 02099) |
Enumeration Date | 2010-08-29 |
Last Update Date | 2012-03-23 |