| NPI | 1427509090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA P PARK Owner Operator 563-332-6596 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IA 02329) |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2023-09-06 |