| NPI | 1174708689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY JO DECIOUS Occupational Therapist/Owner 641-780-8041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IA 01692) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IA 02356) |
| Enumeration Date | 2008-01-02 |
| Last Update Date | 2009-10-06 |