| NPI | 1417921511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNETTE DAWN LANE Administrative Assistant 563-327-0132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 227800000X Respiratory Therapist, Certified | |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2009-05-01 |