| NPI | 1558619049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE A STANLEY Director/Owner 712-490-3494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IA 02786) |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2012-08-15 |