NPI | 1487881397 |
---|---|
Doing Business As | PACIFICA OUTPATIENT |
Entity Type | Organization |
Authorized Contact | ALLEN PHILIP WOLNERMAN Owner 515-285-2559 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: IA 770692) |
Additional Taxonomies | 261QH0700X Clinic/Center, Hearing and Speech (Licence: IA 770692) |
261QX0100X Clinic/Center, Occupational Medicine (Licence: IA 770692) | |
Enumeration Date | 2009-06-18 |
Last Update Date | 2009-06-18 |