| NPI | 1255692836 |
|---|---|
| Doing Business As | GENESIS SPORTS CENTER @ AUGUSTANA COLLEGE |
| Entity Type | Organization |
| Authorized Contact | MARK G. ROGERS VP Of Finance / CFO 563-421-6513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2012-05-31 |
| Last Update Date | 2012-05-31 |