NPI | 1194070896 |
---|---|
Entity Type | Organization |
Authorized Contact | BARBARA JEAN EATON CEO/PT A 319-795-2028 |
Organization Subpart ? | No |
Primary Taxonomy | 225400000X Rehabilitation Practitioner (Licence: IA 00560) |
Enumeration Date | 2012-07-18 |
Last Update Date | 2012-07-18 |