| NPI | 1447434659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN M THOMAS Owner 712-580-5008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: IA 01739) |
| Enumeration Date | 2007-12-24 |
| Last Update Date | 2010-08-09 |