NPI | 1487151775 |
---|---|
Entity Type | Organization |
Authorized Contact | KEITH ALAN ROED Physical Therapist/Owner 712-560-0460 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IA 004816) |
Enumeration Date | 2018-04-12 |
Last Update Date | 2018-06-21 |