| NPI | 1659564664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARID F MANSHADI President 319-234-0109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: IA 27493) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA J-054600) |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2014-05-12 |