| NPI | 1477808533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENA HUMMEL Office Manager Billing 563-242-1170 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner (Licence: IA 00085) |
| Enumeration Date | 2012-07-16 |
| Last Update Date | 2014-07-30 |