| NPI | 1619868080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOGAN LYNCH Owner 563-543-3400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2025-07-14 |
| Last Update Date | 2025-07-14 |