| NPI | 1467422014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN GONZALEZ Business Office Manager 641-753-6636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2018-12-05 |