| NPI | 1255646709 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID JON HALLAND Physical Therapist 712-320-2722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: IA 00868) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: IA 00807) |
| 261QP2000X Clinic/Center, Physical Therapy (Licence: IA 01261) | |
| 261QP2000X Clinic/Center, Physical Therapy (Licence: IA 01929) | |
| 261QP2000X Clinic/Center, Physical Therapy (Licence: IA 03253) | |
| 261QR0400X Clinic/Center, Rehabilitation (Licence: IA 01681) | |
| 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: IA 055168) | |
| Enumeration Date | 2010-08-09 |
| Last Update Date | 2010-08-09 |