| NPI | 1194580878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE NICOLE AGUERO MILLER Owner 563-260-6018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2024-02-21 |
| Last Update Date | 2024-02-21 |