| NPI | 1306317615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUE HOLSTROM Administrative Assistant 319-693-7745 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2018-12-12 |
| Last Update Date | 2020-07-31 |