| NPI | 1528224664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARID FREDERIK MANSHASI President/Owner 319-234-0109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: IA 27493) |
| Enumeration Date | 2008-07-29 |
| Last Update Date | 2024-03-09 |