| NPI | 1538366026 |
|---|---|
| Doing Business As | OAK TRACE |
| Doing Business As | OAKTRACE |
| Entity Type | Organization |
| Authorized Contact | WILLIAM STEVEN NUTTY Compliance, Audit & Privacy Officer 515-309-7803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2020-05-08 |