| NPI | 1669472619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA KATHERINE NOWAK Administrator 319-861-3322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center Rehabilitation (Licence: IA 166564) |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2020-08-22 |