| NPI | 1407235336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONNIE M RYSTROM Owner 319-366-1886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XH1200X Occupational Therapist, Hand (Licence: IA 00152) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2016-10-13 |