| NPI | 1679121933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA DOLPHIN Manager 319-721-9333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center Rehabilitation |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN |
| 2251P0200X Physical Therapist Pediatrics | |
| 225XF0002X Occupational Therapist Feeding, Eating & Swallowing | |
| 225XP0200X Occupational Therapist Pediatrics | |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2019-08-29 |
| Last Update Date | 2020-02-26 |