| NPI | 1164792966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA LYNN DRISH Owner 563-441-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IA 01724) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2012-01-10 |
| Last Update Date | 2015-03-20 |