NPI | 1194256453 |
---|---|
Entity Type | Organization |
Authorized Contact | RENEE ALLARD Medical Office Administrator 515-512-9225 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist |
Additional Taxonomies | 133V00000X Dietitian, Registered |
Enumeration Date | 2017-03-27 |
Last Update Date | 2018-12-06 |