| NPI | 1194052076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEROD L. GAYER Owner 319-352-5644 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2009-11-12 |
| Last Update Date | 2020-03-06 |