| NPI | 1396122495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MISTY ANN HAFFNER-SZYNSKIE Owner/Operator 712-542-0123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IA 01433) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IA 03738) |
| Enumeration Date | 2015-04-28 |
| Last Update Date | 2015-04-28 |