| NPI | 1639364979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK D LEVERENZ President 563-343-4735 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070 004200) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IL 056003842) |
| 235Z00000X Speech-Language Pathologist, (Licence: IL 146000661) | |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2007-09-10 |