| NPI | 1679979280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANJEE BENJAMIN GERALDE ANG Founder 319-601-9768 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IA 03690) |
| Enumeration Date | 2014-11-08 |
| Last Update Date | 2014-11-08 |